| Tides Of Change Wellness Llc | |
|
7300 Grace Dr Ste 2d Columbia MD 21044-2473 | |
| (443) 864-2131 | |
| Not Available |
| Full Name | Tides Of Change Wellness Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7300 Grace Dr Ste 2d, Columbia, Maryland |
| Authorized Official Name and Position | Brittney Dahunsi (OWNER) |
| Authorized Official Contact | 4438642131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tides Of Change Wellness Llc 7300 Grace Dr Ste 2d Columbia MD 21044-2473 Ph: (443) 864-2131 | Tides Of Change Wellness Llc 7300 Grace Dr Ste 2d Columbia MD 21044-2473 Ph: (443) 864-2131 |
| NPI Number | 1255893590 |
|---|---|
| Provider Enumeration Date | 04/04/2019 |
| Last Update Date | 04/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255893590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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