Organization
SHIFTING TIDES THERAPEUTIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ERVIN LMFT (OWNER/THERAPIST)
(860) 416-3739
Entity
Organization
Contact information
Practice address
25 LATHAM HILL RD, COLUMBIA, CT 06237-1409
(860) 416-3739
Mailing address
PO BOX 4, HEBRON, CT 06248-0004
(860) 416-3739
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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