| Two Lights Counseling, Llc | |
|
243 Mount Auburn Ave Ste 2b Auburn ME 04210-8522 | |
| (207) 710-0408 | |
| Not Available |
| Full Name | Two Lights Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 243 Mount Auburn Ave Ste 2b, Auburn, Maine |
| Authorized Official Name and Position | Timothy Bates (OWNER) |
| Authorized Official Contact | 2077100408 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Two Lights Counseling, Llc 243 Mount Auburn Ave Ste 2b Auburn ME 04210-8522 Ph: (207) 710-0408 | Two Lights Counseling, Llc 243 Mount Auburn Ave Ste 2b Auburn ME 04210-8522 Ph: (207) 710-0408 |
| NPI Number | 1902687213 |
|---|---|
| Provider Enumeration Date | 10/12/2023 |
| Last Update Date | 10/12/2023 |
| Certification Date | 10/12/2023 |
| Medicare PECOS PAC ID | 5193177921 |
|---|---|
| Medicare Enrollment ID | O20240117003671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902687213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Timothy A Bates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508429747 PECOS PAC ID: 0042613853 Enrollment ID: I20210730000297 |
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