Organization
CHANGING TIDES COUNSELING AND WELLNESS, LLC
Active
Other names
Sea Sparrow Counseling and Wellness, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WELLNESS GLASPELL LCSW (THERAPIST)
(907) 235-2102
Entity
Organization
Contact information
Practice address
195 CITYVIEW AVE APT 1, HOMER, AK 99603-7040
(907) 235-2102
Mailing address
195 CITYVIEW AVE APT 1, HOMER, AK 99603-7040
(907) 235-2102
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346494200
NPI INDIVIDUAL NUMBER
—
Enumeration date
06/10/2021
Last updated
06/10/2021
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