Tides Of Change Wellness Collaborative, Llc

LBN: Tides Of Change Wellness Collaborative, Llc
Tides Of Change Wellness Collaborative, Llc is an health care organization with primary practice located at 1423 Tilton Rd Ste 4 , Northfield NJ 08225-1857. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as the primary health care specialty. Tides Of Change Wellness Collaborative, Llc can be contacted via phone (856) 332-1151, or through Davis, Lauren Ashley via phone (856) 332-1151.

Contact Information

Primary practice address
1423 Tilton Rd Ste 4 Northfield NJ 08225-1857
Phone: (856) 332-1151
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davis, Lauren Ashley Doctor of Osteopathy (DO)
Phone: (856) 332-1151

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X

Profile Details

NPI number 1104590264
LBN Legal business name Tides Of Change Wellness Collaborative, Llc
DBA Doing business as
Authorized official Davis, Lauren Ashley Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2021
Last updated Aug 3rd, 2021 - about 3 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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