| Tidal Counseling Llc | |
|
1490 Northbank Pkwy Suite 248 Tuscaloosa AL 35406-2439 | |
| (205) 722-7227 | |
| Not Available |
| Full Name | Tidal Counseling Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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