# TIDES OF CHANGE COUNSELING, LLC

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

## Provider details

- **NPI number:** 1598450108
- **Authorized official:** MARYJEANNE F CHICHESTER LISW-CP (OWNER)
- **Authorized official phone:** (860) 302-5427

## Contact information

- **Practice address:** 3301 SALTERBECK ST STE 101, MT PLEASANT, SC 29466-7165
- **Practice address phone:** (860) 302-5427
- **Mailing address:** 3301 SALTERBECK ST STE 101, MT PLEASANT, SC 29466-7165
- **Mailing address phone:** (860) 302-5427

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2023
- **Last updated:** 04/10/2023