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Organization

FREY THERAPY LLC

Active
Other names
Spring Tide Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA FREY MA (OWNER)
(419) 345-7404
Entity
Organization

Contact information

Practice address
1591 W CENTRE AVE STE 205, PORTAGE, MI 49024-6315
(269) 525-4004
Mailing address
2596 CHESTNUT RIDGE AVE, PORTAGE, MI 49024-7600

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
106H00000X
Marriage & Family Therapist

Other

Enumeration date
05/31/2022
Last updated
06/13/2022
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