Individual provider · Type 1 NPI

Kerisha Tidwell, MS

Mental Health Counselor · Nashville, TN

NPI number 1770260952 Active

Practice location

95 White Bridge Pike Ste 400
Nashville, TN 37205-1426

Mailing address

6030 Sagi Cir
La Vergne, TN 37086-2778

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1770260952

Kerisha Tidwell, MS's National Provider Identifier is 1770260952, issued on Jun 29, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Nashville, TN. The record was last updated on Jun 29, 2023.