Changing Tides Counseling and Wellness, LLC

NPI #1982271508 in Homer, Alaska

Provider Information

NPI Number: 1982271508
Entity Type: Organization
Organization Name: Changing Tides Counseling and Wellness, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jun 10, 2021
Last Updated: Jun 10, 2021

Practice Location

Address: 195 CITYVIEW AVE APT 1
City: Homer
State: Alaska
ZIP Code: 99603-7040
Phone: (907) 235-2102

Authorized Official

Name: KIMBERLY WELLNESS GLASPELL, LCSW
Title: THERAPIST
Phone: (907) 235-2102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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