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

Tide and Shore Marriage and Family Therapy

Organization Marriage & Family Therapist · NPI 1174401236

Tide and Shore Marriage and Family Therapy is a Marriage & Family Therapist in Thousand Oaks, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

516 Pennsfield Pl Ste 208
Thousand Oaks, CA 91360-5530
Phone: (805) 694-0251
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1174401236
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kaidi Liu — Owner · (818) 606-9079
NPI enumeratedAugust 25, 2025
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025
Mailing address2075 Hietter Ave, Simi Valley, CA 93063-2851

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