| Tides Changing Therapy | |
|
2949 Federal Blvd # 205 Denver CO 80211-3741 | |
| (772) 485-6301 | |
| Not Available |
| Full Name | Tides Changing Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2949 Federal Blvd # 205, Denver, Colorado |
| Authorized Official Name and Position | Samantha Alexis Miller (PRESIDENT, LCSW) |
| Authorized Official Contact | 7724856301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tides Changing Therapy 2921 W 38th Ave # 190 Denver CO 80211-2019 Ph: (772) 485-6301 | Tides Changing Therapy 2949 Federal Blvd # 205 Denver CO 80211-3741 Ph: (772) 485-6301 |
| NPI Number | 1891396693 |
|---|---|
| Provider Enumeration Date | 11/06/2020 |
| Last Update Date | 11/06/2020 |
| Certification Date | 11/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891396693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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