| Tidehaven Health | |
|
519 Live Oak Dr Mount Pleasant SC 29464-4365 | |
| (843) 971-8808 | |
| (843) 971-9636 |
| Full Name | Tidehaven Health |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 519 Live Oak Dr, Mount Pleasant, South Carolina |
| Authorized Official Name and Position | Elizabeth C Grueneberger (OWNER) |
| Authorized Official Contact | 8439718808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidehaven Health 519 Live Oak Dr Mount Pleasant SC 29464-4365 Ph: (843) 971-8808 | Tidehaven Health 519 Live Oak Dr Mount Pleasant SC 29464-4365 Ph: (843) 971-8808 |
| NPI Number | 1679930184 |
|---|---|
| Provider Enumeration Date | 01/28/2016 |
| Last Update Date | 05/05/2022 |
| Certification Date | 05/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679930184 | NPI | - | NPPES |
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