Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Changing Tides Behavioral Health, LLC

Organization Clinical Social Worker · NPI 1437747615

Changing Tides Behavioral Health, LLC is a Clinical Social Worker 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.

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Practice location Address checks out

2606 N Bluff St Ste 102A
Fulton, MO 65251-7257
Phone: (573) 220-6420
Fax: (573) 592-0107
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1437747615
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Hrebar-Ihler — Owner/Provider · (573) 573-6420
NPI enumeratedJanuary 4, 2021
Last updated in NPPESFebruary 18, 2021
Certification dateFebruary 18, 2021
Mailing address3133 County Road 223, Kingdom City, MO 65262-1905

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