Life Tide Counseling PC
NPI #1316205354 in Swansboro, North Carolina
Provider Information
- NPI Number
- 1316205354
- Entity Type
- Organization
- Organization Name
- Life Tide Counseling PC
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Apr 27, 2012
- Last Updated
- Apr 27, 2012
Practice Location
- Address
- 205 WARD RD
- Address 2
- SUITE 1
- City
- Swansboro
- State
- North Carolina
- ZIP Code
- 28584-8259
- Phone
- (910) 326-8881
Authorized Official
- Name
- MRS. CAROL A. SHEPARD, LMFT
- Title
- PRESIDENT
- Phone
- (910) 326-8881
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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