| Changing Tides Wellness And Advisors Pllc | |
|
4721 Garth Rd Baytown TX 77521-2153 | |
| (281) 215-3176 | |
| Not Available |
| Full Name | Changing Tides Wellness And Advisors Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 4721 Garth Rd, Baytown, Texas |
| Authorized Official Name and Position | Xiaocan Sherry Zhang (FOUNDER) |
| Authorized Official Contact | 2812153176 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Tides Wellness And Advisors Pllc 15019 Lake Shore Ave Mont Belvieu TX 77523-2225 Ph: () - | Changing Tides Wellness And Advisors Pllc 4721 Garth Rd Baytown TX 77521-2153 Ph: (281) 215-3176 |
| NPI Number | 1588429781 |
|---|---|
| Provider Enumeration Date | 02/16/2024 |
| Last Update Date | 02/16/2024 |
| Certification Date | 02/14/2024 |
| Medicare PECOS PAC ID | 9335580711 |
|---|---|
| Medicare Enrollment ID | O20240516001350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588429781 | NPI | - | NPPES |
| Provider Name | Xiaocan Sherry Zhang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902459092 PECOS PAC ID: 9931437381 Enrollment ID: I20190822001763 |
| Provider Name | Carla M Vaughn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710714571 PECOS PAC ID: 4789116203 Enrollment ID: I20241022001392 |
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