| Changing Tides Therapy, Llc. | |
|
219 Neck Rd Madison CT 06443-2724 | |
| (203) 794-6647 | |
| Not Available |
| Full Name | Changing Tides Therapy, Llc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 219 Neck Rd, Madison, Connecticut |
| Authorized Official Name and Position | Erin Puzycki (OWNER) |
| Authorized Official Contact | 2037946647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Tides Therapy, Llc. 219 Neck Rd Madison CT 06443-2724 Ph: (203) 794-6647 | Changing Tides Therapy, Llc. 219 Neck Rd Madison CT 06443-2724 Ph: (203) 794-6647 |
| NPI Number | 1366130007 |
|---|---|
| Provider Enumeration Date | 05/01/2023 |
| Last Update Date | 05/01/2023 |
| Certification Date | 04/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366130007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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