Organization · Type 2 NPI

The Changing Tide Body Mind & Spirit PC dba I Choose Life Inc.

Psychiatric/Mental Health Nurse Practitioner · Mathews, VA

NPI number 1962196683 Active

Practice location

75 Main Street, Ste E
Mathews, VA 23109

Call (804) 725-3041 Map

Fax (804) 725-3510

Mailing address

PO Box 327
Mathews, VA 23109-0327

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	None listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

Other psychiatric/mental health nurse practitioner providers in Mathews

The Changing Tide Body, Mind & Spirit P.c.Psychiatric/Mental Health Nurse Practitioner Mathews, VA NPI 1144874447

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NPI record

NPI: 1962196683
Entity type: Organization (Type 2)
Issued: Jun 6, 2023
Last updated: Jun 20, 2023
Status: Active
Subpart: Yes of The Changing Tide Body, Mind & Spirit P.c.

Other names

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I Choose Life Inc. · doing business as
I Choose Life Inc. · doing business as

Authorized official

Mrs. Debra Moore Zierow, PMHNP-BC
Owner
(804) 725-3041

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About NPI 1962196683

The Changing Tide Body Mind & Spirit PC dba I Choose Life Inc.'s National Provider Identifier is 1962196683, issued on Jun 6, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mathews, VA. The record was last updated on Jun 20, 2023.