| Mr William Cleveland Tidwell Jr, LPC | |
|
405 Alabama Avenue, Bremen, GA 30110 | |
| (770) 537-2367 | |
| (770) 537-1203 |
| Full Name | Mr William Cleveland Tidwell Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 405 Alabama Avenue, Bremen, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326114448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC005068 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr William Cleveland Tidwell Jr, LPC 405 Alabama Avenue, Bremen, GA 30110 Ph: (770) 537-2367 | Mr William Cleveland Tidwell Jr, LPC 405 Alabama Avenue, Bremen, GA 30110 Ph: (770) 537-2367 |
Lisa Ann Bradley, LAPC Counselor Medicare: Medicare Enrolled Practice Location: 189 Charleston Ave, Bremen, GA 30110 Phone: 770-748-2225 | |
Audrey Smith, CARES, AD, PP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1449 Temple Rd, Bremen, GA 30110 Phone: 770-537-2367 | |
Mrs. Virginia Ward, SST Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Alabama Avenue, Bremen, GA 30110 Phone: 770-537-2367 Fax: 770-537-1203 | |
Ms. Jamie Leigh Brown, M.ED. Counselor Medicare: Medicare Enrolled Practice Location: 1449 Temple Rd, Bremen, GA 30110 Phone: 770-537-2367 Fax: 770-537-1203 | |
Ms. Cathy S Miller, SST-2 Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Alabama Avenue, Bremen, GA 30110 Phone: 770-537-2367 Fax: 770-537-1203 | |
Sara Anderson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 Buchanan St N, Bremen, GA 30110 Phone: 770-328-0746 |