Spring Tide Therapy - Mental Health Clinic in Portage, MI

Spring Tide Therapy is a mental health clinic (Counselor - Professional) in Portage, Michigan. The current practice location for Spring Tide Therapy is 1591 W Centre Ave Ste 205, Portage, Michigan. For appointments, you can reach them via phone at (269) 525-4004. The mailing address for Spring Tide Therapy is 2596 Chestnut Ridge Ave, Portage, Michigan and phone number is () -.

Spring Tide Therapy is licensed to practice in * (Not Available) (license number ) and its NPI number is 1073252995. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (269) 525-4004.

Contact Information

Spring Tide Therapy
1591 W Centre Ave Ste 205
Portage
MI 49024-6315
(269) 525-4004
Not Available

Mental Health Clinic Profile

Full NameSpring Tide Therapy
SpecialityCounselor - Professional
Location1591 W Centre Ave Ste 205, Portage, Michigan
Authorized Official Name and PositionAmanda Frey (OWNER)
Authorized Official Contact4193457404
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Spring Tide Therapy
2596 Chestnut Ridge Ave
Portage
MI 49024-7600

Ph: () -
Spring Tide Therapy
1591 W Centre Ave Ste 205
Portage
MI 49024-6315

Ph: (269) 525-4004

NPI Details:

NPI Number1073252995
Provider Enumeration Date05/31/2022
Last Update Date06/13/2022
Certification Date06/13/2022

Medical Identifiers

Medical identifiers for Spring Tide Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073252995NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
101YP2500XCounselor - Professional (* (Not Available))Primary
106H00000XMarriage & Family Therapist (* (Not Available))Secondary

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