HIGHTIDE MENTAL HEALTH LLC NPI 1548156946

NPI Information

  • NPI: 1548156946
  • Provider Name: HIGHTIDE MENTAL HEALTH, LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 580 BROADWAY ST STE 215
    LAGUNA BEACH, CA
    ZIP 92651
  • Phone: (949) 239-9567

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NPI Details

HIGHTIDE MENTAL HEALTH, LLC is an adult mental health clinic center in Laguna Beach, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. HIGHTIDE MENTAL HEALTH, LLC NPI is 1548156946. The provider is registered as an organization entity type.

The provider's business location address is:

580 BROADWAY ST STE 215
LAGUNA BEACH, CA
ZIP 92651-328
Phone: (949) 239-9567

The provider's authorized official is Anthony Fletcher .
The authorized official title is Ceo and has the following contact phone number (949) 239-9567.

The enumeration date for this NPI number is 6/13/2025 and was last updated on 7/17/2025.

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
1261QM0850XClinic/CenterAdult Mental HealthYes

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: 11/21/2025

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