| Changing Tides Counseling And Wellness, Llc | |
|
195 Cityview Ave Apt 1 Homer AK 99603-7040 | |
| (907) 235-2102 | |
| Not Available |
| Full Name | Changing Tides Counseling And Wellness, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 195 Cityview Ave Apt 1, Homer, Alaska |
| Authorized Official Name and Position | Kimberly Wellness Glaspell (THERAPIST) |
| Authorized Official Contact | 9072352102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Tides Counseling And Wellness, Llc 195 Cityview Ave Apt 1 Homer AK 99603-7040 Ph: (907) 235-2102 | Changing Tides Counseling And Wellness, Llc 195 Cityview Ave Apt 1 Homer AK 99603-7040 Ph: (907) 235-2102 |
| NPI Number | 1982271508 |
|---|---|
| Provider Enumeration Date | 06/10/2021 |
| Last Update Date | 06/10/2021 |
| Certification Date | 06/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982271508 | NPI | - | NPPES |
| 1346494200 | Other | NPI INDIVIDUAL NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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