Changing Tides Therapy, LLC.
Social Worker, Clinical in Madison, Connecticut
1366130007- Practice location
- 219 Neck RD, Madison, CT 06443-2724
- Phone
- 203-794-6647
- Fax
- —
- Last updated
- May 1, 2023
Changing Tides Therapy, LLC. is a healthcare organization based in Madison, CT. Changing Tides Therapy, LLC. practices in Madison, CT. The NPI Number for Changing Tides Therapy, LLC. is 1366130007. The current practice location address for Changing Tides Therapy, LLC. is 219 Neck RD, Madison, CT 06443-2724 and can be reached out via phone at 203-794-6647.
Provider Profile Details
- NPI Number
- 1366130007
- Provider Name
- Changing Tides Therapy, LLC.
- Provider Entity Type
- Organization
- Address
- 219 Neck RD, Madison, CT 06443-2724
- Phone Number
- 203-794-6647
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Mrs. Erin Puzycki, LCSW · Owner · 203-794-6647
- Provider Enumeration Date
- May 1, 2023
- Last Update Date
- May 1, 2023
- Certification Date
- April 30, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 219 Neck RD
Madison, CT 06443-2724 - City
- Madison
- State
- Connecticut
- Zip
- 06443-2724
- Phone Number
- 203-794-6647
Provider Business Mailing Address Details
- Address
- 219 Neck RD
Madison, CT 06443-2724 - City
- Madison
- State
- CT
- Zip
- 06443-2724
- Phone Number
- 203-794-6647
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. | |||
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Frequently Asked Questions
What is the NPI number of Changing Tides Therapy, LLC.?
The NPI number of Changing Tides Therapy, LLC. is 1366130007. It was assigned on May 1, 2023 and is currently active in the NPPES registry.
What is the specialty of Changing Tides Therapy, LLC.?
Changing Tides Therapy, LLC. is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Changing Tides Therapy, LLC. practice?
The practice location is 219 Neck RD, Madison, CT 06443-2724. The office can be reached at 203-794-6647 (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 1366130007 directly on the NPPES registry website.