Tides Psychotherapy Services, LLC
NPI #1609168384 in Mahwah, New Jersey
Provider Information
- NPI Number
- 1609168384
- Entity Type
- Organization
- Organization Name
- Tides Psychotherapy Services, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- May 12, 2011
- Last Updated
- May 12, 2011
Practice Location
- Address
- 900 DARLINGTON AVENUE
- City
- Mahwah
- State
- New Jersey
- ZIP Code
- 07430
- Phone
- (973) 699-6916
Authorized Official
- Name
- TARA M DUBLANICA, LCSW
- Title
- OWNER/ PSYCHOTHERAPIST
- Phone
- (973) 699-6916
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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