Organization
LOW TIDE PLAY THERAPY & FAMILY WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAYDEN JOSEPH AHLBRANDT LPC, LCMHCA, NCC (OWNER)
(970) 631-7848
Entity
Organization
Contact information
Practice address
107 CHESTNUT ST, WILMINGTON, NC 28401-3940
(910) 537-6257
(910) 360-8084
Mailing address
7447 CHIPLEY DR, WILMINGTON, NC 28411-6213
(970) 631-7848
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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