Tida Healthcare Llc

LBN: Tida Healthcare Llc
Tida Healthcare Llc is an health care organization with primary practice located at 2209 Montauk Dr , Crofton MD 21114-3245. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Psychosomatic Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Tida Healthcare Llc can be contacted via phone (240) 305-7446, or through Konchou, Ida Mabelle via phone (240) 305-7446.

Contact Information

Primary practice address
2209 Montauk Dr Crofton MD 21114-3245
Phone: (240) 305-7446
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Konchou, Ida Mabelle
Phone: (240) 305-7446

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry 2084B0040X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X

Profile Details

NPI number 1629768775
LBN Legal business name Tida Healthcare Llc
DBA Doing business as
Authorized official Konchou, Ida Mabelle
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2023
Last updated May 11th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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