Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Tristan Oliver Greenlaw, LCPC

Individual provider Mental Health Counselor · NPI 1811471766

Mr. Tristan Oliver Greenlaw, LCPC is a Mental Health Counselor in Bangor, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2018
Specialties on file
2
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

61 Main St Ste 62
Bangor, ME 04401-6469
Phone: (207) 922-2158
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CC6591 (ME)
Mental Health Counselor Taxonomy 101YM0800X · Licence XL5121 (ME)

Record details

NPI number1811471766
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorYes
NPI enumeratedSeptember 17, 2018
Last updated in NPPESFebruary 8, 2024
Certification dateFebruary 8, 2024

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