Organization
CHANGING TIDES COUNSELING SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SANDERS LICSW (SOLE OWNER)
(205) 602-7365
Entity
Organization
Contact information
Practice address
209 W JESSAMINE AVE, FOLEY, AL 36535-2010
(205) 602-7365
Mailing address
294 CYPRESS LAKE DR, GULF SHORES, AL 36542-9102
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
05/12/2023
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