IndividualActive
Amy Tardy, PHD, LCPC, CCS, LADC
NPI 1780233445 · Professional Counselor · Waterville, ME
Provider details
- NPI number
- 1780233445
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- PHD, LCPC, CCS, LADC
- Sex
- Female
- Sole proprietor
- No
- License
- XL5067 (ME)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
229b Main St
Waterville, ME 04901-6119
Phone: (207) 578-2244
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1626
Waterville, ME 04903-1626
Additional practice locations (1)
- 325 Kmd, Building D - Unit 4325 Kmd - Building D -- Unit 4Waterville, ME 04901Phone: (207) 616-0499
Registry dates
- Enumerated
- 2019-09-05
- Last updated
- 2024-04-24
- Certified
- 2024-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.