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Organization
RISING TIDE THERAPY, LLC
Active
Organization
RISING TIDE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE-ANNE C KUZEL LMHC (OWNER)
(352) 634-1168
Entity
Organization
Contact information
Practice address
7647 W GULF TO LAKE HWY STE 4, CRYSTAL RIVER, FL 34429-7800
(352) 212-7435
Mailing address
7647 W GULF TO LAKE HWY STE 4, CRYSTAL RIVER, FL 34429-7800
(352) 212-7435
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
03/01/2023
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