Patrick R Tidwell, PHD, LMFT - Counselor in Montgomery, AL

Patrick R Tidwell, PHD, LMFT is a Counselor - Addiction (substance Use Disorder) based in Montgomery, Alabama. Patrick R Tidwell is licensed to practice in Alabama (license number 251S00000X) and his current practice location is 1425 I-65 Parkway, Montgomery, Alabama. He can be reached at his office (for appointments etc.) via phone at (404) 989-2867.

NPI number for Patrick R Tidwell is 1316450976 and his current mailing address is 3884 Berkshire Dr, Montgomery, Alabama. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316450976.

Contact Information

Patrick R Tidwell, PHD, LMFT
1425 I-65 Parkway,
Montgomery, AL 36106-2860
(404) 989-2867
Not Available

Map and Direction


Healthcare Provider's Profile

Full NamePatrick R Tidwell
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location1425 I-65 Parkway, Montgomery, Alabama
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1316450976
  • Provider Enumeration Date: 11/06/2017
  • Last Update Date: 11/06/2017

Medical Identifiers

Medical identifiers for Patrick R Tidwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316450976NPI-NPPES
251S00000XMedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 251S00000X (Alabama)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Patrick R Tidwell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Patrick R Tidwell, PHD, LMFT
3884 Berkshire Dr,
Montgomery, AL 36109-1641

Ph: (334) 787-0601
Patrick R Tidwell, PHD, LMFT
1425 I-65 Parkway,
Montgomery, AL 36106-2860

Ph: (404) 989-2867

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