Organization
CHANGING TIDES THERAPY
Active
Organization
CHANGING TIDES THERAPY
Active
Parent organization
CHANGING TIDES THERAPY
Other names
Dr. Brandy Pidermann, LCSW
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHANGING TIDES THERAPY
Authorized official
DR. BRANDY PIDERMANN LCSW (OWNER)
(954) 710-7619
Entity
Organization
Contact information
Practice address
19410 SW 58TH PL, FORT LAUDERDALE, FL 33332-1301
(954) 710-7619
Mailing address
4301 S FLAMINGO RD STE 106, DAVIE, FL 33330-1902
(954) 710-7619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/26/2024
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