Change Of Tides Therapy LLC
Social Worker, Clinical in East Lyme, Connecticut
1164114294- Practice location
- 314 Flanders RD Ste 2D, East Lyme, CT 06333-1727
- Phone
- 860-460-0983
- Fax
- —
- Last updated
- June 5, 2023
Change Of Tides Therapy LLC is a healthcare organization based in East Lyme, CT. Change Of Tides Therapy LLC practices in East Lyme, CT. The NPI Number for Change Of Tides Therapy LLC is 1164114294. The current practice location address for Change Of Tides Therapy LLC is 314 Flanders RD Ste 2D, East Lyme, CT 06333-1727 and can be reached out via phone at 860-460-0983.
Provider Profile Details
- NPI Number
- 1164114294
- Provider Name
- Change Of Tides Therapy LLC
- Provider Entity Type
- Organization
- Address
- 314 Flanders RD Ste 2D, East Lyme, CT 06333-1727
- Phone Number
- 860-460-0983
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Mrs. Katie Camann, LCSW · Owner, Therapist · 860-460-0983
- Provider Enumeration Date
- May 25, 2023
- Last Update Date
- June 5, 2023
- Certification Date
- June 5, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 314 Flanders RD Ste 2D
East Lyme, CT 06333-1727 - City
- East Lyme
- State
- Connecticut
- Zip
- 06333-1727
- Phone Number
- 860-460-0983
Provider Business Mailing Address Details
- Address
- 314 Flanders RD Ste 2D
East Lyme, CT 06333-1727 - City
- East Lyme
- State
- CT
- Zip
- 06333-1727
- Phone Number
- 860-460-0983
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 East Lyme, CT
View all Social Worker, Clinical providers in East Lyme →Frequently Asked Questions
What is the NPI number of Change Of Tides Therapy LLC?
The NPI number of Change Of Tides Therapy LLC is 1164114294. It was assigned on May 25, 2023 and is currently active in the NPPES registry.
What is the specialty of Change Of Tides Therapy LLC?
Change Of Tides Therapy LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Change Of Tides Therapy LLC practice?
The practice location is 314 Flanders RD Ste 2D, East Lyme, CT 06333-1727. The office can be reached at 860-460-0983 (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 1164114294 directly on the NPPES registry website.