Tide Life Therapy LLC
Tide Life Therapy LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Isle of Palms, South Carolina. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4 27th Ave Apt AIsle of Palms, SC 29451-2402
Phone: (843) 603-1213
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 number | 1356088108 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michaela Buckhannon — Clinician · (843) 603-1213 |
| Other names | Tide Life Therapy |
| NPI enumerated | May 13, 2022 |
| Last updated in NPPES | May 13, 2022 |
| Certification date | May 13, 2022 |
| Mailing address | Po Box 117, Isle Of Palms, SC 29451-0117 |