# EBBTIDE BEHAVIORAL HEALTH ASSOCIATES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932808953
- **Authorized official:** TASHA L HUMPHREYS APRN (PROVIDER)
- **Authorized official phone:** (802) 793-9177

## Contact information

- **Practice address:** 83 LAFAYETTE RD UNIT 47-B, HAMPTON FALLS, NH 03844-2303
- **Practice address phone:** (802) 793-9177
- **Mailing address:** 83 LAFAYETTE RD UNIT 47-B, HAMPTON FALLS, NH 03844-2303
- **Mailing address phone:** (802) 793-9177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2023
- **Last updated:** 08/09/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3095969 | — | NH |