Provider Demographics
NPI:1427862291
Name:LAURA TENNENHOUSE PSYCHOTHERAPY
Entity type:Organization
Organization Name:LAURA TENNENHOUSE PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:TENNENHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:CLCPC
Authorized Official - Phone:207-209-3828
Mailing Address - Street 1:439 US ROUTE 1 STE A
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-1638
Mailing Address - Country:US
Mailing Address - Phone:207-209-3828
Mailing Address - Fax:
Practice Address - Street 1:187 SUMMIT ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-2925
Practice Address - Country:US
Practice Address - Phone:207-209-3828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty