Susannah Tully is a Portland, Maine based counselor who is specialized as Professional Counselor. Active license number of Susannah Tully is CC4200 for Professional Counselor in Maine. Her current practice location is 470 Forest Avenue, 300, Portland. Patients can book an appointment with her at 207-854-1030.
Susannah Tully is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. She uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Susannah Tully speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Susannah Tully
Specialization:
Professional Counselor
Gender:
Female
Credentials:
M. ED.
Accepts Medicare Assignment:
No
Practice Address:
470 Forest Avenue, 300, Portland, Maine, 04101
Phone:
207-854-1030
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1558754200
NPI Enumeration Date:
05 Mar, 2015
NPI Last Update On:
05 Mar, 2015
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susannah Tully are as mentioned below.
License Number
Specialization
State
Status
CC4200
Professional Counselor
Maine
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Susannah Tully such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
CC4200
Other
Maine
MAINECARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
470 Forrester Avenue, 300 Portland, Maine
Zip:
04101
Phone Number:
207-854-1030
Patients can reach Susannah Tully at 470 Forest Avenue, 300, Portland, Maine or can call to book an appointment on 207-854-1030. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.