Organization
CHANGING TIDES BEHAVIORAL HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN LYONS NP (PMHNP / OWNER)
(978) 273-6284
Entity
Organization
Contact information
Practice address
12 STRAWBERRY LN, WESTFORD, MA 01886-1972
(978) 273-6284
Mailing address
12 STRAWBERRY LN, WESTFORD, MA 01886-1972
(978) 273-6284
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
10/11/2024
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