CHANGING TIDES COUNSELING & BEHAVIORAL HEALTH LLC NPI 1841859931

NPI Information

NPI: 1841859931
Provider Name: CHANGING TIDES COUNSELING & BEHAVIORAL HEALTH, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
137 NATIONAL PLZ STE 300
OXON HILL, MD
ZIP 20745
Phone: (240) 273-3117
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CHANGING TIDES COUNSELING & BEHAVIORAL HEALTH, LLC is a mental health (including community mental health center) clinic center in Oxon Hill, MD. CHANGING TIDES COUNSELING & BEHAVIORAL HEALTH, LLC NPI is 1841859931. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

137 NATIONAL PLZ STE 300
OXON HILL, MD
ZIP 20745-153
Phone: (240) 273-3117

The provider's authorized official is Kelly Jackson .
The authorized official title is Ceo and has the following contact phone number (301) 395-9033.

The enumeration date for this NPI number is 6/11/2019 and was last updated on 4/10/2024.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical			No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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