Tide Life Therapy Llc

LBN: Tide Life Therapy Llc
Tide Life Therapy Llc is an health care organization with primary practice located at 4 27Th Ave Apt A , Isle Of Palms SC 29451-2402. 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. Tide Life Therapy Llc can be contacted via phone (843) 603-1213, or through Buckhannon, Michaela Anne via phone (843) 603-1213.

Contact Information

Primary practice address
4 27Th Ave Apt A Isle Of Palms SC 29451-2402
Phone: (843) 603-1213
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Buckhannon, Michaela Anne LISW-CP
Phone: (843) 603-1213

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1356088108
LBN Legal business name Tide Life Therapy Llc
DBA Doing business as
Authorized official Buckhannon, Michaela Anne LISW-CP
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2022
Last updated May 13th, 2022 - about 4 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.

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