Low Tide Play Therapy & Family Wellness PLLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

LOW TIDE PLAY THERAPY & FAMILY WELLNESS PLLC

Practice address

107 Chestnut St
Wilmington, NC 28401-3940

Phone

(910) 537-6257

Fax

(910) 360-8084

NPI assigned

Jul 9, 2024

Last updated

Jul 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hayden Joseph Ahlbrandt, LPC, LCMHCA, NCCNPI 1134890916

Title

Owner

Phone

(970) 631-7848

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hayden Ahlbrandt

  • Professional Counselor
  • Wilmington, NC
  • NPI 1134890916
  NPD Authorized official

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1508603465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 CHIPLEY DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284116213",
            "telephone_number": "970-631-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CHESTNUT ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013940",
            "telephone_number": "910-537-6257",
            "fax_number": "910-360-8084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 W Drake Rd Ste 14",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805262883",
            "country_code": "US",
            "telephone_number": "970-695-8987",
            "fax_number": "910-360-8084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOW TIDE PLAY THERAPY & FAMILY WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "AHLBRANDT",
        "authorized_official_first_name": "HAYDEN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-631-7848",
        "authorized_official_credential": "LPC, LCMHCA, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Anne Louya
• Davon Love, MSW, LCSWA
• Kristen Love, M.A., LMFT
• Jacob Lovejoy, LCAS-A
• John W Lovett, M.D.
• Lowe Family Care Home #3
• Lower Cape Fear Dermatology Clinic, P.a.
• Lower Cape Fear Hospice Incorporated (Lower Cape Fear Lifecare)
• Lower Cape Fear Hospice Incorporated (Lower Cape Fear LifeCare)
• Lower Cape Fear Hospice, Inc (Lower Cape Fear LifeCare)

• Adolescent and Children Mental Health Clinic/Center in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Adolescent and Children Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.