Tides Edge Recovery Services, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

1601 Issued in FL

Legal business name

TIDES EDGE RECOVERY SERVICES, LLC

Practice address

1597 The Greens Way
Jacksonville Beach, FL 32250-1401

Phone

(904) 685-9083

NPI assigned

Jul 24, 2017

Organization subpart

No

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

Authorized official

Name

Jim Huber

Title

Ceo

Phone

(615) 785-1137

Specialties & licenses 1

Addresses

Tax ID family

Tides Edge Recovery Services LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Tides Edge Recovery Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Jacksonville Beach, FL
  • NPI 1295549806
  NPD tax ID
• Tides Edge Recovery Services LLC

  • Substance Abuse Rehabilitation Facility
  • Jacksonville Beach, FL
  • NPI 1700610789
  NPD tax ID
• Tides Edge Recovery Services LLC

  • Substance Abuse Rehabilitation Facility
  • Jacksonville Beach, FL
  • NPI 1790519775
  NPD tax ID
• Tides Edge Recovery Services, LLC

  • Substance Abuse Rehabilitation Facility
  • Jacksonville Beach, FL
  • NPI 1891529871
  NPD tax ID
• Tides Edge Recovery Services, LLC

  • Multi-Specialty Clinic/Center
  • Jacksonville Beach, FL
  • NPI 1992228845
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Charles Connolly, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1952424616
  NPD (past)
• Andrea Margaret Trescot, M.D.

  • Interventional Pain Medicine Physician
  • East Palatka, FL
  • NPI 1124001235
  NPD (past)

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1568985406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 12TH ST S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503422",
            "telephone_number": "904-593-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1597 THE GREENS WAY",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501401",
            "telephone_number": "904-685-9083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 11th Ave N",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "322507224",
            "country_code": "US",
            "telephone_number": "904-593-9353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "146 11th Ave N",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "322507224",
            "country_code": "US",
            "telephone_number": "904-593-9353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "142 11th Ave N",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "322507224",
            "country_code": "US",
            "telephone_number": "904-593-9353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TIDES EDGE RECOVERY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-785-1137"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "1601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Thomas, APRN
• Thriving Minds PLLC
• Tides Edge Recovery Services LLC
• Tides Edge Recovery Services LLC
• Tides Edge Recovery Services LLC
• Tides Edge Recovery Services, LLC
• Tides Edge Recovery Services, LLC
• Ginger Tidwell, PT, DPT, ACSM-EP
• Rachell Lynn Tillman, FL MA 76980
• Timothy L Schneider, MD PA (Schneider Eye Center)

• Substance Abuse Rehabilitation Facility in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.