| Change Of Tides Therapy Llc | |
|
314 Flanders Rd Ste 2d East Lyme CT 06333-1727 | |
| (860) 460-0983 | |
| Not Available |
| Full Name | Change Of Tides Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 314 Flanders Rd Ste 2d, East Lyme, Connecticut |
| Authorized Official Name and Position | Katie Camann (OWNER, THERAPIST) |
| Authorized Official Contact | 8604600983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Of Tides Therapy Llc 314 Flanders Rd Ste 2d East Lyme CT 06333-1727 Ph: (860) 460-0983 | Change Of Tides Therapy Llc 314 Flanders Rd Ste 2d East Lyme CT 06333-1727 Ph: (860) 460-0983 |
| NPI Number | 1164114294 |
|---|---|
| Provider Enumeration Date | 05/25/2023 |
| Last Update Date | 06/05/2023 |
| Certification Date | 06/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164114294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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