Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Adult Mental Health |
261QM0850X | |||
Mental Health |
101YM0800X |
| NPI # | 1164111803 |
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| LBN Legal business name | SEA CHANGE PSYCHOTHERAPY, LLC | ||||
| Authorized official | PAMELA MADSEN - (MANAGER/OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/08/2023 | ||||
| Last updated | 05/08/2023 - About 3 years ago | ||||
| Identifiers |
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SEA CHANGE PSYCHOTHERAPY, LLC