Tidal Counseling Llc | |
1490 Northbank Pkwy Suite 248 Tuscaloosa AL 35406-2439 | |
(205) 722-7227 | |
Not Available |
Full Name | Tidal Counseling Llc |
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Speciality | Counselor - Mental Health |
Location | 1490 Northbank Pkwy Suite 248, Tuscaloosa, Alabama |
Authorized Official Name and Position | Mollie Oline Putyrae (MENTAL HEALTH COUNSELING) |
Authorized Official Contact | 5099813104 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tidal Counseling Llc 1490 Northbank Pkwy Suite 248 Tuscaloosa AL 35406-2439 Ph: (205) 722-7227 | Tidal Counseling Llc 1490 Northbank Pkwy Suite 248 Tuscaloosa AL 35406-2439 Ph: (205) 722-7227 |
NPI Number | 1093351629 |
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Provider Enumeration Date | 11/19/2019 |
Last Update Date | 11/19/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093351629 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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