| Tide Pool Counseling, Llc | |
|
296 Arrowhead Lane Stuarts Draft VA 24477 | |
| (540) 241-5740 | |
| Not Available |
| Full Name | Tide Pool Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 296 Arrowhead Lane, Stuarts Draft, Virginia |
| Authorized Official Name and Position | Kathryn Elizabeth Snyder (OWNER) |
| Authorized Official Contact | 5402415740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tide Pool Counseling, Llc 296 Arrowhead Lane Stuarts Draft VA 24477 Ph: (540) 241-5740 | Tide Pool Counseling, Llc 296 Arrowhead Lane Stuarts Draft VA 24477 Ph: (540) 241-5740 |
| NPI Number | 1912610148 |
|---|---|
| Provider Enumeration Date | 01/03/2023 |
| Last Update Date | 01/03/2023 |
| Certification Date | 01/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912610148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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