Tidal Integrated Health, Inc

LBN: Tidal Integrated Health, Inc
Tidal Integrated Health, Inc is an health care organization with primary practice located at 1025 Director Ct Ste E , Greenville NC 27858-5996. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Tidal Integrated Health, Inc can be contacted via phone (252) 493-6525, or through Bond, Kayzandra Leigh Exum via phone (252) 493-6788.

Contact Information

Primary practice address
1025 Director Ct Ste E Greenville NC 27858-5996
Phone: (252) 493-6525
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bond, Kayzandra Leigh Exum PHD
Phone: (252) 493-6788

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1346933561
LBN Legal business name Tidal Integrated Health, Inc
DBA Doing business as
Authorized official Bond, Kayzandra Leigh Exum PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2023
Last updated Jun 14th, 2023 - about last year

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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