| NPI | 1356105753 |
|---|---|
| Other Name | RISING TIDES COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | SHELLEY BEAUDOIN Preseident 479-366-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |