Provider Demographics
NPI:1578272522
Name:CHANGING TIDES THERAPEUTIC COUNSELING INC.
Entity Type:Organization
Organization Name:CHANGING TIDES THERAPEUTIC COUNSELING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CURRO
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:978-478-7805
Mailing Address - Street 1:16 THORNELL RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NH
Mailing Address - Zip Code:03858-3617
Mailing Address - Country:US
Mailing Address - Phone:978-478-8277
Mailing Address - Fax:
Practice Address - Street 1:10 PRINCE PL STE 201
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-2657
Practice Address - Country:US
Practice Address - Phone:978-478-7805
Practice Address - Fax:978-255-4305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-18
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty