Changing Tides Wellness Center LLC
NPI 1174304190 · Mental Health Clinic/Center (Including Community Mental Health Center) · Marlton, NJ
Changing Tides Wellness Center LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Marlton, NJ (NPI 1174304190).
Provider details
- NPI number
- 1174304190
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nicholas Desimone, Ceo/Owner(856) 217-9182
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
- Medical Specialty Clinic/Center261QM2500X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-10-06
- Last updated
- 2023-11-29
- Certified
- 2023-11-29
Frequently asked questions
- What is Changing Tides Wellness Center LLC's NPI number?
- Changing Tides Wellness Center LLC's National Provider Identifier (NPI) is 1174304190, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Changing Tides Wellness Center LLC?
- Changing Tides Wellness Center LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Changing Tides Wellness Center LLC located?
- Changing Tides Wellness Center LLC's practice location on file with NPPES is 1000 Lincoln Dr E Ste 2, Marlton, NJ 08053-1566.
- What is Changing Tides Wellness Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Changing Tides Wellness Center LLC is (856) 508-0977.
- Who is the authorized official for Changing Tides Wellness Center LLC?
- The authorized official listed on Changing Tides Wellness Center LLC's NPPES record is Nicholas Desimone, Ceo/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Changing Tides Wellness Center LLC's NPI active?
- Yes — Changing Tides Wellness Center LLC's NPI (1174304190) is active in the NPPES registry as of the last update on 2023-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.