Changing Tides Behavioral Health, LLC
Changing Tides Behavioral Health, LLC provides Clinical Social Worker services in Fulton, Missouri. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2606 N Bluff St Ste 102AFulton, MO 65251-7257
Phone: (573) 220-6420
Fax: (573) 592-0107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1437747615 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Hrebar-Ihler — Owner/Provider · (573) 573-6420 |
| NPI enumerated | January 4, 2021 |
| Last updated in NPPES | February 18, 2021 |
| Certification date | February 18, 2021 |
| Mailing address | 3133 County Road 223, Kingdom City, MO 65262-1905 |
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