Tidwell, Breanna

Tidwell, Breanna is an individual health care provider with primary practice located at 310 Whittington Ave , Hot Springs AR 71901-3406. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Tidwell, Breanna can be contacted via phone (501) 623-3477.

Contact Information

Primary practice address
310 Whittington Ave Hot Springs AR 71901-3406
Phone: (501) 623-3477
Fax: (501) 624-7498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Arkansas
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1548875784
LBN Legal business name Tidwell, Breanna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2020
Last updated Nov 22nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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