Provider Demographics
NPI:1225822034
Name:TIDES OF CHANGE PLLC
Entity type:Organization
Organization Name:TIDES OF CHANGE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:B
Authorized Official - Last Name:GREER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LCMHC
Authorized Official - Phone:910-622-8388
Mailing Address - Street 1:1208 BURNETT RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28409-4900
Mailing Address - Country:US
Mailing Address - Phone:919-770-3727
Mailing Address - Fax:
Practice Address - Street 1:1328 LAKE PARK BLVD N STE 109
Practice Address - Street 2:
Practice Address - City:CAROLINA BEACH
Practice Address - State:NC
Practice Address - Zip Code:28428-3906
Practice Address - Country:US
Practice Address - Phone:910-622-8388
Practice Address - Fax:910-798-2811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health