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

Soul Tide Outpatient Psychotherapy, PC

Organization Mental Health Counselor · NPI 1376224402

Soul Tide Outpatient Psychotherapy, PC is a Mental Health Counselor in Carlsbad, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3257 Camino De Los Coches Ste 303
Carlsbad, CA 92009-8974
Phone: (858) 945-7421
Fax: (858) 726-6265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1376224402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Trevor Olson — Psychologist/Owner · (855) 945-7421
NPI enumeratedJuly 31, 2023
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026
Mailing address2204 Irving Ave, San Diego, CA 92113-2301

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