NPI | 1295130581 |
---|---|
Doing Business As | TIDES OF MIND COUNSELING |
Entity Type | Organization |
Authorized Contact | ELLIOT RICHELSON President, Secretary, And Treasurer 904-605-4986 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008064) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2014-10-29 |
Last Update Date | 2023-04-04 |