Tides of Change Therapeutic Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

TIDES OF CHANGE THERAPEUTIC SERVICES, LLC

Practice address

41660 Courthouse Dr
Leonardtown, MD 20650-3887

Phone

(240) 309-2351

Fax

(240) 526-2347

NPI assigned

Mar 8, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Gersende B Schleicher, LCPCNPI 1548631054

Title

Therapist, Owner

Phone

(240) 309-2351

Specialties & licenses 1

Addresses

Other names 1

• NA Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gersende Schleicher

  • Professional Counselor
  • Leonardtown, MD
  • NPI 1548631054
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1306546320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 139",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206500139",
            "telephone_number": "240-309-2351",
            "fax_number": "240-526-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41660 COURTHOUSE DR",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503887",
            "telephone_number": "240-309-2351",
            "fax_number": "240-526-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDES OF CHANGE THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "SCHLEICHER",
        "authorized_official_first_name": "GERSENDE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "THERAPIST, OWNER",
        "authorized_official_telephone_number": "240-309-2351",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haley Marie Thompson, PA-C
• Jenette E Thompson
• Jessica Thompson, LGSW
• Katherine Yvonne Thompson, OTD, OTR/L
• Lindsey Threlkeld, MD
• Lawrence Edward Tilley, M.D.
• Nicole Leigh Tillman, LMSW
• Stefanie Lynn Tippett
• Toluwalase Oluwakemi Tofade, MD
• Rachelle Marie Tomaszeski, MSN, WHNP-BC

• Professional Counselor in Leonardtown, MD
• Providers in Leonardtown, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.