| Specialty | Taxonomy Code | |
|---|---|---|
| * | Professional | 101YP2500X |
| Addiction (Substance Use Disorder) | 101YA0400X | |
| Adult Mental Health | 261QM0850X | |
| Mental Health | 101YM0800X |
* Indicates primary specialty
| NPI Number | 1164111803 |
| Legal business name LBN |
SEA CHANGE PSYCHOTHERAPY, LLC |
| Authorized official | PAMELA MADSEN - (MANAGER/OWNER) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 05/08/2023 |
| Last updated | 05/08/2023 - About 3 years ago |
| Sole proprietor1 | Not specified |
| Identifiers |
|
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
There are currently no reviews for SEA CHANGE PSYCHOTHERAPY, LLC