Organization
TIDES OF CHANGE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYJEANNE F CHICHESTER LISW-CP (OWNER)
(860) 302-5427
Entity
Organization
Contact information
Practice address
3301 SALTERBECK ST STE 101, MT PLEASANT, SC 29466-7165
(860) 302-5427
Mailing address
3301 SALTERBECK ST STE 101, MT PLEASANT, SC 29466-7165
(860) 302-5427
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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