Changing Tides Counseling, Llc
LBN: Changing Tides Counseling, Llc
Changing Tides Counseling, Llc is an health care organization with primary practice located at 51 S Main Ave Ste 304 , Clearwater FL 33765-3937. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty.
Changing Tides Counseling, Llc can be contacted via phone (920) 370-7680, or through Petroshius-Crocker, Samantha via phone (813) 461-5370.
Contact Information
Primary practice address
51 S Main Ave Ste 304
Clearwater FL 33765-3937
Phone: (920) 370-7680
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1639887672 |
|---|---|
| LBN Legal business name | Changing Tides Counseling, Llc |
| DBA Doing business as | |
| Authorized official | Petroshius-Crocker, Samantha LMHC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 8th, 2022 |
| Last updated | Nov 8th, 2022 - about 2 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639887672 | NPPES |
| Florida | MEDICAID | 21772400 |
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