| Changing Tides Therapy Center, Llc | |
|
3693 N Carolina Ave Edgewater MD 21037-3333 | |
| (410) 940-9886 | |
| Not Available |
| Full Name | Changing Tides Therapy Center, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3693 N Carolina Ave, Edgewater, Maryland |
| Authorized Official Name and Position | Caraline Gunther (OWNER) |
| Authorized Official Contact | 4109409886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Tides Therapy Center, Llc 3693 N Carolina Ave Edgewater MD 21037-3333 Ph: (410) 940-9886 | Changing Tides Therapy Center, Llc 3693 N Carolina Ave Edgewater MD 21037-3333 Ph: (410) 940-9886 |
| NPI Number | 1821879677 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 10/09/2023 |
| Certification Date | 10/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821879677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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