MARY M TIDYMAN PLMHP LADC NPI 1861793085

NPI Information

NPI: 1861793085
Provider Name: MARY M TIDYMAN, PLMHP, LADC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
110 N BAILEY
NORTH PLATTE, NE
ZIP 69101
Phone: (308) 534-6029
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Mary M Tidyman, PLMHP, LADC is a mental health counselor in North Platte, NE with 5 years of experience. Mary M Tidyman, PLMHP, LADC NPI is 1861793085. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

110 N BAILEY
NORTH PLATTE, NE
ZIP 69101
Phone: (308) 534-6029
Fax: (308) 534-6961

The NPI 1861793085 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/4/2010 and was last updated on 1/10/2020.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1280	NEBRASKA	No
2	101YM0800X	Counselor	Mental Health	12069	NEBRASKA	Yes
3	171M00000X	Case Manager/Care Coordinator				No

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

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