Tidalhealth Behavioral Health Peninsula

LBN: Tidalhealth Specialty Care, Llc
Tidalhealth Behavioral Health Peninsula is an health care organization with primary practice located at 100 E Carroll St , Salisbury MD 21801-5422. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Tidalhealth Specialty Care, Llc can be contacted via phone (410) 543-7119, or through Gary, Stephanie Renee via phone (410) 912-6059.

Contact Information

Primary practice address
100 E Carroll St Salisbury MD 21801-5422
Phone: (410) 543-7119
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gary, Stephanie Renee
Phone: (410) 912-6059

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1437810785
LBN Legal business name Tidalhealth Specialty Care, Llc
DBA Doing business as Tidalhealth Behavioral Health Peninsula
Authorized official Gary, Stephanie Renee
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2022
Last updated Feb 28th, 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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