LIFE TIDE COUNSELING PC NPI 1316205354

NPI Details

LIFE TIDE COUNSELING PC is a marriage family therapist in Swansboro, NC. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. LIFE TIDE COUNSELING PC NPI is 1316205354. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

205 WARD RD
SUITE 1
SWANSBORO, NC
ZIP 28584-259
Phone: (910) 326-8881
Fax: (910) 326-2342

The provider's authorized official is Carol A. Shepard .
The authorized official title is President and has the following contact phone number (910) 326-8881.

The enumeration date for this NPI number is 4/27/2012 and was last updated on 4/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.