Life Tide Therapy, Llc

LBN: Life Tide Therapy, Llc
Life Tide Therapy, Llc is an health care organization with primary practice located at 54 High St , Charlestown MA 02129-3377. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Life Tide Therapy, Llc can be contacted via phone (603) 520-6388, or through Haynes, Danielle A via phone (857) 302-4902.

Contact Information

Primary practice address
54 High St Charlestown MA 02129-3377
Phone: (603) 520-6388
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Haynes, Danielle A LICSW
Phone: (857) 302-4902

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1114513967
LBN Legal business name Life Tide Therapy, Llc
DBA Doing business as
Authorized official Haynes, Danielle A LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2020
Last updated Dec 16th, 2020 - about 4 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.

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