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Organization
TIDE AND SHORE MARRIAGE AND FAMILY THERAPY
Active
Organization
TIDE AND SHORE MARRIAGE AND FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAIDI LIU (OWNER)
(818) 606-9079
Entity
Organization
Contact information
Practice address
516 PENNSFIELD PL STE 208, THOUSAND OAKS, CA 91360-5530
(805) 694-0251
Mailing address
2075 HIETTER AVE, SIMI VALLEY, CA 93063-2851
(805) 694-0251
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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