Tidal Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TIDAL COUNSELING LLC

Practice address

1490 Northbank Pkwy Suite 248
Tuscaloosa, AL 35406-2439

Phone

(205) 722-7227

NPI assigned

Nov 19, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mollie Oline Putyrae, MA

Title

Mental Health Counseling

Phone

(509) 981-3104

Specialties & licenses 1

Addresses

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1093351629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 NORTHBANK PKWY SUITE 248",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062439",
            "telephone_number": "205-722-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 NORTHBANK PKWY SUITE 248",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062439",
            "telephone_number": "205-722-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDAL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "PUTYRAE",
        "authorized_official_first_name": "MOLLIE",
        "authorized_official_middle_name": "OLINE",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELING",
        "authorized_official_telephone_number": "509-981-3104",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mollie@tidalcounseling.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1490 Northbank Pkwy suite 248",
            "city": "tuscaloosa",
            "state": "AL",
            "country_code": "US",
            "postal_code": "354062439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thriv 360 Five Precision Medicine, LLC
• Thumbs Up Educational Service Agency,Inc
• Marcy Thurman
• Rosanne Austin Thurman, PHARMD
• Johnny R Tice, FNP-C
• Christy Vaughn Tidmore, PHARMD
• Brent Alan Tidwell, D.C.
• Karen L Tidwell, CRNA
• Raymond Cruz Tidwell
• Dan Clarence Tiller, CRNA

• Mental Health Counselor in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.