| Shifting Tides Therapeutic Services Pllc | |
|
25 Latham Hill Rd Columbia CT 06237-1409 | |
| (860) 416-3739 | |
| Not Available |
| Full Name | Shifting Tides Therapeutic Services Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 25 Latham Hill Rd, Columbia, Connecticut |
| Authorized Official Name and Position | Stephanie Ervin (OWNER/THERAPIST) |
| Authorized Official Contact | 8604163739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shifting Tides Therapeutic Services Pllc Po Box 4 Hebron CT 06248-0004 Ph: (860) 416-3739 | Shifting Tides Therapeutic Services Pllc 25 Latham Hill Rd Columbia CT 06237-1409 Ph: (860) 416-3739 |
| NPI Number | 1568281335 |
|---|---|
| Provider Enumeration Date | 10/08/2024 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568281335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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