| Spring Tide Therapy | |
|
1591 W Centre Ave Ste 205 Portage MI 49024-6315 | |
| (269) 525-4004 | |
| Not Available |
| Full Name | Spring Tide Therapy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1591 W Centre Ave Ste 205, Portage, Michigan |
| Authorized Official Name and Position | Amanda Frey (OWNER) |
| Authorized Official Contact | 4193457404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Tide Therapy 2596 Chestnut Ridge Ave Portage MI 49024-7600 Ph: () - | Spring Tide Therapy 1591 W Centre Ave Ste 205 Portage MI 49024-6315 Ph: (269) 525-4004 |
| NPI Number | 1073252995 |
|---|---|
| Provider Enumeration Date | 05/31/2022 |
| Last Update Date | 06/13/2022 |
| Certification Date | 06/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073252995 | NPI | - | NPPES |
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