Organization · Type 2 NPI
Tidal Therapy, LLC
Professional Counselor · Maize, KS
NPI number
1073481719
Active
Practice location
5005 N Emerald Ct
Maize, KS 67101-8717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
Professional Counselor: Definition to come...
About NPI 1073481719
Tidal Therapy, LLC's National Provider Identifier is 1073481719, issued on Oct 24, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Maize, KS. The record was last updated on Jul 31, 2026.