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

Deep Tides Therapy PLLC

Organization Social Worker · NPI 1649076191

Deep Tides Therapy PLLC is a Social Worker in Georgetown, Texas. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1804 E 18th St
Georgetown, TX 78626-7322
Phone: (503) 754-2817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1649076191
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Corina Wolfenstein — Owner Of Entity · (503) 754-2817
NPI enumeratedFebruary 24, 2025
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025
Mailing address14205 N Mo Pac Expy Ste 570, Austin, TX 78728-6529

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