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

Changing Tides Wellness Center LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1174304190

Changing Tides Wellness Center LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Marlton, New Jersey. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1000 Lincoln Dr E Ste 2
Marlton, NJ 08053-1566
Phone: (856) 508-0977
Show map & directions

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

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Medical Specialty Clinic/Center Taxonomy 261QM2500X

Record details

NPI number1174304190
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Desimone — Ceo/Owner · (856) 217-9182
NPI enumeratedOctober 6, 2023
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023
Mailing address199 North Woodbury Rd., Pitman, NJ 08071

Other providers in Marlton