TIDAL BALANCED WELLNESS CENTER NPI 1558958991

NPI Information

NPI: 1558958991
Provider Name: TIDAL BALANCED WELLNESS CENTER

Doing Business As: TIDAL BALANCED WELLNESS CENTER

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
325 TACOMA AVE S STE 1
TACOMA, WA
ZIP 98402
Phone: (757) 921-7704
Get Directions

TIDAL BALANCED WELLNESS CENTER is a mental health (including community mental health center) clinic center in Tacoma, WA. TIDAL BALANCED WELLNESS CENTER NPI is 1558958991. The provider is registered as an organization entity type.
The provider Is Doing Business As Tidal Balanced Wellness Center.

The provider's business location address is:

325 TACOMA AVE S STE 1
TACOMA, WA
ZIP 98402-550
Phone: (757) 921-7704

The provider's authorized official is Shannon Barello Crayton .
The authorized official title is Owner and has the following contact phone number (757) 921-7704.

The enumeration date for this NPI number is 12/30/2020 and was last updated on 4/10/2024.

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
1	261Q00000X	Clinic/Center				No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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: 4/28/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »