Change of Tides Therapy LLC
NPI #1164114294 in East Lyme, Connecticut
Provider Information
- NPI Number
- 1164114294
- Entity Type
- Organization
- Organization Name
- Change of Tides Therapy LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- May 25, 2023
- Last Updated
- Jun 5, 2023
Practice Location
- Address
- 314 FLANDERS RD STE 2D
- City
- East Lyme
- State
- Connecticut
- ZIP Code
- 06333-1727
- Phone
- (860) 460-0983
Authorized Official
- Name
- MRS. KATIE CAMANN, LCSW
- Title
- OWNER, THERAPIST
- Phone
- (860) 460-0983
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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