Tidyman, Mary M

Tidyman, Mary M is an individual health care provider with primary practice located at 110 N Bailey , North Platte NE 69101. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Tidyman, Mary M can be contacted via phone (308) 534-6029.

Contact Information

Primary practice address
110 N Bailey North Platte NE 69101
Phone: (308) 534-6029
Fax: (308) 534-6961
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1280 Nebraska
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 12069 Nebraska

Profile Details

NPI number 1861793085
LBN Legal business name Tidyman, Mary M
Credentials PLMHP, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2010
Last updated Jan 10th, 2020 - about 4 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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