Individual provider · Type 1 NPI

Jazmyne Tidwell, LMHC

Mental Health Counselor · Indianapolis, IN

NPI number 1003799669 Active

Practice location

2506 Willowbrook Pkwy Ste 300
Indianapolis, IN 46205-1500

Call (317) 574-1254 Map

Fax (317) 674-0060

Mailing address

697 Pro Med Ln
Carmel, IN 46032-5323

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X39005576A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1003799669

Jazmyne Tidwell, LMHC's National Provider Identifier is 1003799669, issued on Jul 30, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Indianapolis, IN. The record was last updated on Oct 7, 2026.