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Organization

ENLIGHTENED TIDES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTY GELINAS LCSW, LADC, CCS (OWNER)
(207) 212-1946
Entity
Organization

Contact information

Practice address
179 LISBON ST STE 201, LEWISTON, ME 04240-7248
(207) 212-1946
Mailing address
53 SPRINGER FARM RD, SABATTUS, ME 04280-4747
(207) 212-1946

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
05/13/2025
Last updated
09/11/2025
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