| Tidal Integrated Health, Inc | |
|
1025 Director Ct Ste E Greenville NC 27858-5996 | |
| (252) 493-6525 | |
| Not Available |
| Full Name | Tidal Integrated Health, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 1025 Director Ct Ste E, Greenville, North Carolina |
| Authorized Official Name and Position | Kayzandra Leigh Exum Bond (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 2524936788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidal Integrated Health, Inc 2307 Norwood Ave Ste A Goldsboro NC 27534-1601 Ph: (252) 493-6788 | Tidal Integrated Health, Inc 1025 Director Ct Ste E Greenville NC 27858-5996 Ph: (252) 493-6525 |
| NPI Number | 1346933561 |
|---|---|
| Provider Enumeration Date | 06/01/2023 |
| Last Update Date | 06/14/2023 |
| Certification Date | 06/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346933561 | NPI | - | NPPES |
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