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NPI Code Detail

MEDICARE: TURNING TIDES MENTAL HEALTH SERVICES LLC

MEDICARE: TURNING TIDES MENTAL HEALTH SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1376499814
Entity Type Code : Organization
Provider Name (Legal Business Name) : TURNING TIDES MENTAL HEALTH SERVICES LLC
Provider Business Mailing Address
First Line : 222 NEW RD STE 405
Second Line :
City : LINWOOD
State : NJ
Zip : 08221-1283
Country : US
Telephone Number : 609-671-8756
Fax Number : 609-809-1996
Provider Business Practice Location Address
First Line : 222 NEW RD STE 405
Second Line :
City : LINWOOD
State : NJ
Zip : 08221-1283
Country : US
Telephone Number : 609-671-8756
Fax Number : 609-809-1996
Authorized Official
Title or Position : OWNER
Name : AUDREY E RASIUL
Credential : APN
Telephone Number : 609-671-8756
Provider Enumeration Date : 03/06/2026
Last Update Date : 03/06/2026

Similar Medicare Providers

1447877139 — AUDREY E RASIUL APN
Practice Location Address:
222 NEW RD STE 405
LINWOOD, NJ
08221-1283
Practice Phone: 609-671-8756
Practice Fax: 609-809-1996
1386660116 — JUAN C BELMONTE LCSW
Practice Location Address:
222 NEW RD STE 405
LINWOOD, NJ
08221-1283
Practice Phone: 609-234-0651
Practice Fax: 609-377-8120
1154435782 — JENNIFER G EYE LCSW
Practice Location Address:
222 NEW RD STE 405
LINWOOD, NJ
08221-1283
Practice Phone: 609-377-8118
Practice Fax: 609-377-8120
1154449734 — DIANE GOLDBLUM-GRAFF MSN, APN, BC
Practice Location Address:
222 NEW RD STE 405
LINWOOD, NJ
08221-1283
Practice Phone: 609-412-1717
Practice Fax:
1962694539 — NOEL HIERS LCSW
Practice Location Address:
222 NEW RD STE 405
LINWOOD, NJ
08221-1283
Practice Phone: 609-380-1237
Practice Fax:
1619344496 — HENRY MADAMBA
Practice Location Address:
222 NEW RD STE 405
LINWOOD, NJ
08221-1283
Practice Phone: 609-289-5354
Practice Fax: 609-266-0459

Directions to “TURNING TIDES MENTAL HEALTH SERVICES LLC ” Practice Location

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