| Turning Tides Wellness | |
|
1212 Bath Ave Ste 410 Ashland KY 41101-2664 | |
| (606) 694-5880 | |
| Not Available |
| Full Name | Turning Tides Wellness |
|---|---|
| Speciality | Social Worker |
| Location | 1212 Bath Ave Ste 410, Ashland, Kentucky |
| Authorized Official Name and Position | Nichole Lee Bates (ONWER) |
| Authorized Official Contact | 6069231124 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Turning Tides Wellness 1627 State Route 1 Greenup KY 41144-6397 Ph: (606) 694-5880 | Turning Tides Wellness 1212 Bath Ave Ste 410 Ashland KY 41101-2664 Ph: (606) 694-5880 |
| NPI Number | 1285307496 |
|---|---|
| Provider Enumeration Date | 07/26/2021 |
| Last Update Date | 10/23/2023 |
| Certification Date | 10/23/2023 |
| Medicare PECOS PAC ID | 9931556008 |
|---|---|
| Medicare Enrollment ID | O20231110001436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285307496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nichole Lee Bates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750910709 PECOS PAC ID: 7911324751 Enrollment ID: I20230609001454 |
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