Mindful Tides Therapy LLC
NPI #1750086500 in Canonsburg, Pennsylvania
Provider Information
- NPI Number
- 1750086500
- Entity Type
- Organization
- Organization Name
- Mindful Tides Therapy LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Apr 3, 2023
- Last Updated
- Jan 31, 2024
Practice Location
- Address
- 2400 ANSYS DR
- Address 2
- STE 102
- City
- Canonsburg
- State
- Pennsylvania
- ZIP Code
- 15317
- Phone
- (412) 737-0990
Authorized Official
- Name
- KINDALL DAVIS
- Title
- MANAGING PARTNER
- Phone
- (724) 601-2421
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
| Counselor - Professional — Professional |
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