Organization
HEALING TIDE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN EMILY WORCESTER LCSW, LADC, CCS (CLINICIAN / OWNER)
(207) 828-7900
Entity
Organization
Contact information
Practice address
146 OCEAN ST STE 8, SOUTH PORTLAND, ME 04106-3664
(207) 828-7900
(207) 828-7900
Mailing address
146 OCEAN ST STE 8, SOUTH PORTLAND, ME 04106-3664
(207) 828-7900
(207) 828-7900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
01/29/2026
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