| NPI | 1073252995 |
|---|---|
| Doing Business As | SPRING TIDE THERAPY |
| Entity Type | Organization |
| Authorized Contact | AMANDA FREY Owner 419-345-7404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2022-06-13 |