# ROLLING TIDES RECOVERY LLC

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

## Provider details

- **NPI number:** 1891489654
- **Authorized official:** RACHEL HARDWICK (OWNER)
- **Authorized official phone:** (727) 328-4567

## Contact information

- **Practice address:** 620 N FLORIDA AVE, TARPON SPRINGS, FL 34689-2109
- **Practice address phone:** (727) 328-4567
- **Mailing address:** 620 N FLORIDA AVE, TARPON SPRINGS, FL 34689-2109
- **Mailing address phone:** (727) 328-4567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2023
- **Last updated:** 04/19/2024