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Organization
TIDES CHANGING THERAPY
Active
Organization
TIDES CHANGING THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA ALEXIS MILLER LCSW (PRESIDENT, LCSW)
(772) 485-6301
Entity
Organization
Contact information
Practice address
2949 FEDERAL BLVD # 205, DENVER, CO 80211-3741
(772) 485-6301
Mailing address
2921 W 38TH AVE # 190, DENVER, CO 80211-2019
(772) 485-6301
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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