Organization
CHANGING TIDES BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HREBAR-IHLER LCSW (OWNER/PROVIDER)
(573) 573-6420
Entity
Organization
Contact information
Practice address
2606 N BLUFF ST STE 102A, FULTON, MO 65251-7257
(573) 220-6420
(573) 592-0107
Mailing address
3133 COUNTY ROAD 223, KINGDOM CITY, MO 65262-1905
(573) 220-6420
(573) 592-0107
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
02/18/2021
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