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Tide Life Therapy Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Isle Of Palms, South Carolina
NPI 1356088108

Tide Life Therapy Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Isle Of Palms, SC and is specialized in Mental Health (Including Community Mental Health Center). Tide Life Therapy Llc practices in Isle Of Palms, SC. The NPI Number for Tide Life Therapy Llc is 1356088108 and holds a License No. (South Carolina).

The current practice location address for Tide Life Therapy Llc is 4 27Th Ave Apt A, Isle Of Palms, SC and can be reached out via phone at 843-603-1213.

Location: 4 27Th Ave Apt A, Isle Of Palms, SC, 29451-0117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356088108
Provider Name
Tide Life Therapy Llc
Credential
Provider Entity Type
Organization
Address
4 27Th Ave Apt A, Isle Of Palms, SC, 29451-0117
Phone Number
843-603-1213
Fax Number
Provider Enumeration Date
05/13/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4 27Th Ave Apt A
City
Isle Of Palms
State
South Carolina
Zip
29451-2402
Phone Number
843-603-1213
Fax Number
person
Provider Business Mailing Address Details
Address
4 27Th Ave Apt A
City
Isle Of Palms
State
South Carolina
Zip
29451-2402
Phone Number
843-603-1213
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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