SHIFTING TIDES THERAPY LMSW, PLLC
NPI 1114762788
Clinic/Center - Mental Health (Including Community Mental Health Center) in Saint Petersburg, FL

Active since June 26, 2024
555 DR MLK JR ST S, UNIT 405, SAINT PETERSBURG, FL 33705(781) 664-0647 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shifting Tides Therapy Lmsw, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIFTING TIDES THERAPY LMSW, PLLC (NPI 1114762788) is a healthcare organization registered as a mental health (including community mental health center) in Saint Petersburg, Florida and active in the NPI registry since June 2024. The organization lists Deanna Doherty, Owner, as its authorized official.

NPPES Registry Identity

NPI1114762788
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSHIFTING TIDES THERAPY LMSW, PLLC
Location Address555 DR MLK JR ST S, UNIT 405Saint Petersburg, FL 33705
Mailing Address767 Broadway, #1327Manhattan, NY 10003 · (781) 664-0647
Organization SubpartNo
Authorized OfficialDeanna DohertyOwner · (781) 664-0647
Enumeration DateJune 26, 2024
NPPES CertifiedJune 18, 2024
NPI 1114762788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
555 DR MLK JR ST S, Saint Petersburg, FL 33705

Other Identifiers 1

Other1336780295NY · My Personal Npi

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shifting Tides Therapy Lmsw, PLLC's NPI number?

The NPI number for Shifting Tides Therapy Lmsw, PLLC is 1114762788. It was assigned to this organization in the NPPES registry on June 26, 2024.

Where is Shifting Tides Therapy Lmsw, PLLC located?

Shifting Tides Therapy Lmsw, PLLC is located at 555 Dr Mlk Jr St S Unit 405, Saint Petersburg, FL 33705. The listed phone number is (781) 664-0647.

What is Shifting Tides Therapy Lmsw, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Shifting Tides Therapy Lmsw, PLLC was last updated on June 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.