| Tides Psychotherapy Services, Llc | |
|
900 Darlington Avenue Mahwah NJ 07430 | |
| (973) 699-6916 | |
| Not Available |
| Full Name | Tides Psychotherapy Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 900 Darlington Avenue, Mahwah, New Jersey |
| Authorized Official Name and Position | Tara M Dublanica (OWNER/ PSYCHOTHERAPIST) |
| Authorized Official Contact | 9736996916 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tides Psychotherapy Services, Llc 6 Vail Street Nutley NJ 07110 Ph: (973) 699-6916 | Tides Psychotherapy Services, Llc 900 Darlington Avenue Mahwah NJ 07430 Ph: (973) 699-6916 |
| NPI Number | 1609168384 |
|---|---|
| Provider Enumeration Date | 05/12/2011 |
| Last Update Date | 05/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609168384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05284000 (New Jersey) | Primary |
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