# HEALING TIDES COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104698083
- **Authorized official:** MICHA SAVAGE (MANAGER)
- **Authorized official phone:** (208) 724-7237

## Contact information

- **Practice address:** 215 FIDALGO AVE, KENAI, AK 99611-7776
- **Practice address phone:** (907) 744-7969
- **Practice address fax:** (907) 206-7194
- **Mailing address:** 1515 WEDGEWOOD DR, KENAI, AK 99611-6636
- **Mailing address phone:** (907) 744-7969
- **Mailing address fax:** (907) 206-7194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2023
- **Last updated:** 01/12/2024