Tidal Counseling Llc

NPI 1255728614 - Counselor - 101YP2500X

NPI Details
NPI 1255728614
Enumeration Date 04/22/2015
Last Updated 04/22/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name EMILY GREENE EMILY
Position OWNER / PSYCHOTHERAPIST
Phone (860) 876-7488
Fax
Practice Location
263 MAIN ST
SUITE 304
OLD SAYBROOK CT, 06475-2326, US
Phone (860) 876-7488
Fax
Business Location
263 MAIN ST
SUITE 304
OLD SAYBROOK CT, 06475-2326, US
Phone (860) 876-7488
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Connecticut
License Number 001498
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According to our database, Tidal Counseling Llc NPI is 1255728614, taxonomy code is 101YP2500X and license number is 001498, license state is located at Connecticut. Tidal Counseling Llc physically located at 263 Main St, Old Saybrook CT, 06475-2326. NPI Number 1033115704 has the healthcare provider type.

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1255728614 NPI number is provided on an as is basis without warranty of any kind. 1255728614 is maintained by the National Plan & Provider Enumeration System. The contents of Tidal Counseling Llc are for informational purposes only.