OrganizationActive
Changing Tides Counseling, LLC
NPI 1639887672 · Adolescent and Children Mental Health Clinic/Center · Clearwater, FL
Provider details
- NPI number
- 1639887672
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samantha Petroshius-Crocker, Owner/Manager(813) 461-5370
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Practice location
51 S Main Ave Ste 304
Clearwater, FL 33765-3937
Phone: (920) 370-7680
Approximate (ZIP-level) locationGet directions
Mailing address
51 S Main Ave Ste 304
Clearwater, FL 33765-3937
Registry dates
- Enumerated
- 2022-11-08
- Last updated
- 2022-11-08
- Certified
- 2022-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.