Life Tide Therapy, LLC
Social Worker, Clinical in Charlestown, Massachusetts
1114513967- Practice location
- 54 High St, Charlestown, MA 02129-3377
- Phone
- 603-520-6388
- Fax
- —
- Last updated
- December 16, 2020
Life Tide Therapy, LLC is a healthcare organization based in Charlestown, MA. Life Tide Therapy, LLC practices in Charlestown, MA. The NPI Number for Life Tide Therapy, LLC is 1114513967. The current practice location address for Life Tide Therapy, LLC is 54 High St, Charlestown, MA 02129-3377 and can be reached out via phone at 603-520-6388.
Provider Profile Details
- NPI Number
- 1114513967
- Provider Name
- Life Tide Therapy, LLC
- Provider Entity Type
- Organization
- Address
- 54 High St, Charlestown, MA 02129-3377
- Phone Number
- 603-520-6388
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Danielle A Haynes, LICSW · Licsw · 857-302-4902
- Other Names
- Danielle A Haynes (Doing Business As)
- Provider Enumeration Date
- December 16, 2020
- Last Update Date
- December 16, 2020
- Certification Date
- December 16, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 54 High St
Charlestown, MA 02129-3377 - City
- Charlestown
- State
- Massachusetts
- Zip
- 02129-3377
- Phone Number
- 603-520-6388
Provider Business Mailing Address Details
- Address
- 54 High St
Charlestown, MA 02129-3377 - City
- Charlestown
- State
- MA
- Zip
- 02129-3377
- Phone Number
- 603-520-6388
License Information
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Charlestown, MA
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- Amanda KingsleySocial Worker, Clinical · NPI 1497526701
- Amira Walton, MSWSocial Worker, Clinical · NPI 1245961358
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- Anjali Himali, LICSWSocial Worker, Clinical · NPI 1982013249
Frequently Asked Questions
What is the NPI number of Life Tide Therapy, LLC?
The NPI number of Life Tide Therapy, LLC is 1114513967. It was assigned on December 16, 2020 and is currently active in the NPPES registry.
What is the specialty of Life Tide Therapy, LLC?
Life Tide Therapy, LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Life Tide Therapy, LLC practice?
The practice location is 54 High St, Charlestown, MA 02129-3377. The office can be reached at 603-520-6388 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114513967 directly on the NPPES registry website.