# TIDE AND SHORE MARRIAGE AND FAMILY THERAPY

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

## Provider details

- **NPI number:** 1174401236
- **Authorized official:** KAIDI LIU (OWNER)
- **Authorized official phone:** (818) 606-9079

## Contact information

- **Practice address:** 516 PENNSFIELD PL STE 208, THOUSAND OAKS, CA 91360-5530
- **Practice address phone:** (805) 694-0251
- **Mailing address:** 2075 HIETTER AVE, SIMI VALLEY, CA 93063-2851
- **Mailing address phone:** (805) 694-0251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/25/2025
- **Last updated:** 08/25/2025