Changing Tides Counseling & Behavioral Health, Llc

LBN: Changing Tides Counseling & Behavioral Health, Llc
Changing Tides Counseling & Behavioral Health, Llc is an health care organization with primary practice located at 137 National Plz Ste 300 , Oxon Hill MD 20745-1153. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Changing Tides Counseling & Behavioral Health, Llc can be contacted via phone (240) 273-3117, or through Jackson, Kelly via phone (301) 395-9033.

Contact Information

Primary practice address
137 National Plz Ste 300 Oxon Hill MD 20745-1153
Phone: (240) 273-3117
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Kelly PHD, LCSW
Phone: (301) 395-9033

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1841859931
LBN Legal business name Changing Tides Counseling & Behavioral Health, Llc
DBA Doing business as
Authorized official Jackson, Kelly PHD, LCSW
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2019
Last updated Apr 10th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers