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TIDEMARK INTERVENTION SERVICES NPI 1437818770


NPI Information

NPI: 1437818770
Provider Name: TIDEMARK INTERVENTION SERVICES
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
7822 EASTERN AVE
BALTIMORE, MD
ZIP 21224
Phone: (443) 596-8178
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TIDEMARK INTERVENTION SERVICES is a counselor in Baltimore, MD. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. TIDEMARK INTERVENTION SERVICES NPI is 1437818770. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7822 EASTERN AVE
BALTIMORE, MD
ZIP 21224-115
Phone: (443) 596-8178

The provider's authorized official is Ryne Laxton .
The authorized official title is Owner/ Executive Director and has the following contact phone number (410) 417-7385.

The enumeration date for this NPI number is 12/14/2021 and was last updated on 8/16/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.