Organization · Type 2 NPI
Shifting Tides Therapy Lmsw, PLLC
Mental Health Clinic/Center (Including Community Mental Health Center) · St. Petersburg, FL
NPI number
1114762788
Active
Practice location
555 Dr Mlk Jr St S, Unit 405
St. Petersburg, FL 33705
Mailing address
767 Broadway, #1327
Manhattan, NY 10003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1114762788
Shifting Tides Therapy Lmsw, PLLC's National Provider Identifier is 1114762788, issued on Jun 26, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in St. Petersburg, FL. The record was last updated on Jun 26, 2024.