Changing Tides Wellness Center Llc

LBN: Changing Tides Wellness Center Llc
Changing Tides Wellness Center Llc is an health care organization with primary practice located at 1000 Lincoln Dr E Ste 2 , Marlton NJ 08053-1566. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Medical Specialty. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Changing Tides Wellness Center Llc can be contacted via phone (856) 508-0977, or through Desimone, Nicholas via phone (856) 217-9182.

Contact Information

Primary practice address
1000 Lincoln Dr E Ste 2 Marlton NJ 08053-1566
Phone: (856) 508-0977
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Desimone, Nicholas LPC, LCADC
Phone: (856) 217-9182

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1174304190
LBN Legal business name Changing Tides Wellness Center Llc
DBA Doing business as
Authorized official Desimone, Nicholas LPC, LCADC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2023
Last updated Nov 29th, 2023 - 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.

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