Changing Tides Counseling and Wellness, LLC
Organization Active NPI Clinical Social Worker · Homer, AK
NPI 1982271508 · NPPES record last updated Jun 10, 2021
Key facts
- NPI
- 1982271508
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- CHANGING TIDES COUNSELING AND WELLNESS, LLC
- Practice address
- 195 Cityview Ave Apt 1
Homer, AK 99603-7040 - Phone
- (907) 235-2102
- NPI assigned
- Jun 10, 2021
- Organization subpart
- No
Authorized official
- Name
- Kimberly Wellness Glaspell, LCSW
- Title
- Therapist
- Phone
- (907) 235-2102
Practitioners 2
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
195 Cityview Ave Apt 1
Homer, AK 99603-7040
Mailing address
195 Cityview Ave Apt 1
Homer, AK 99603-7040
Phone (907) 235-2102
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346494200 | Other | NPI INDIVIDUAL NUMBER |
Other names
- Sea Sparrow Counseling and Wellness, LLC
Other providers in Homer, AK
- Care Options
- Caresmith Coordination
- Carr-Gottstein Foods Co
- Carr-Gottstein Foods Co
- Lorne D Carroll
- Changing Tides Therapy Services, Inc
- Samuel Chazin
- Amanda Jo Cherok
- Jay C Cherok
- Melody Chesley
All providers in Homer, AK · Clinical Social Worker in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.