Shifting Tides Therapy Lmsw, Pllc
LBN: Shifting Tides Therapy Lmsw, Pllc
Shifting Tides Therapy Lmsw, Pllc is an health care organization with primary practice located at 555 Dr Mlk Jr St S Unit 405, Saint Petersburg FL 33705. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
Shifting Tides Therapy Lmsw, Pllc can be contacted via phone (781) 664-0647, or through Doherty, Deanna via phone (781) 664-0647.
Contact Information
Primary practice address
555 Dr Mlk Jr St S Unit 405
Saint Petersburg FL 33705
Phone: (781) 664-0647
Fax:
Website:
Authorized official contact:
Name: Doherty, Deanna Licensed Clinical Social Worker (LCSW)
Phone: (781) 664-0647
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1114762788 |
|---|---|
| LBN Legal business name | Shifting Tides Therapy Lmsw, Pllc |
| DBA Doing business as | |
| Authorized official | Doherty, Deanna Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 26th, 2024 |
| Last updated | Jun 26th, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114762788 | NPPES |
| New York | Other | 1336780295 | MY PERSONAL NPI |
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