Individual provider · Type 1 NPI

Kailah L. Tidwell, LAC

Mental Health Counselor · Little Rock, AR

NPI number 1669148995 Active

Practice location

323 Center St Ste 1401
Little Rock, AR 72201-2644

Fax (501) 374-2420

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA1809124 (AR)

Mental Health Counselor: Definition to come...

17 other providers at this address

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About NPI 1669148995

Kailah L. Tidwell, LAC's National Provider Identifier is 1669148995, issued on Aug 17, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Little Rock, AR. The record was last updated on Aug 17, 2021.