Tina W Bentley
Individual provider Active NPI Marriage & Family Therapist · Bucksport, ME
NPI 1992342240 · NPPES record last updated Dec 5, 2019
Key facts
- NPI
- 1992342240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- XM5276 (ME)
- Practice address
- 148 Main St
Bucksport, ME 04416-4075 - Phone
- (207) 479-4066
- NPI assigned
- Dec 5, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XM5276 | ME | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | XM5276 | ME | Yes |
Addresses
Primary practice location
148 Main St
Bucksport, ME 04416-4075
Mailing address
PO Box 83
Sullivan, ME 04664-0083
Phone (207) 479-4066
Other providers in Bucksport, ME
- Ann M Aprea
- Autism Behavior Health Therapy LLC
- Lila Erazo Balch
- Sadie Helaine Beardsworth
- Craig Christopher Benson II
- Christene Berg
- Shubhrangshu Kumar Biswas
- Harvard Samuel Bridges
- Caitlin Brittelli
- Bucksport Physical Therapy, LLC
All providers in Bucksport, ME · Marriage & Family Therapist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.