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

Shifting Tides Therapy LMSW, PLLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1114762788

Shifting Tides Therapy LMSW, PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Saint Petersburg, Florida. Registered with an NPI since 2024.

In the registry since
2024
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

555 Dr Mlk Jr St S Unit 405
Saint Petersburg, FL 33705
Phone: (781) 664-0647
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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

Record details

NPI number1114762788
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deanna Doherty — Owner · (781) 664-0647
NPI enumeratedJune 26, 2024
Last updated in NPPESJune 26, 2024
Certification dateJune 18, 2024
Mailing address767 Broadway, 1327, Manhattan, NY 10003

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