Organization
CHANGING TIDES PSYCHOTHERAPY & COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA A HARMON LCSW (OWNER)
(203) 733-6984
Entity
Organization
Contact information
Practice address
8 MYRTLE AVE, WESTPORT, CT 06880-3511
(203) 733-6984
Mailing address
8 MYRTLE AVE, WESTPORT, CT 06880-3511
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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