Tidal Therapy, LLC

NPI #1073481719 in Maize, Kansas

Provider Information

NPI Number: 1073481719
Entity Type: Organization
Organization Name: Tidal Therapy, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 24, 2025
Last Updated: Oct 24, 2025

Practice Location

Address: 5005 N EMERALD CT
City: Maize
State: Kansas
ZIP Code: 67101-8717
Phone: (316) 308-5426

Authorized Official

Name: KELSEY BALL, LCPC
Title: OWNER
Phone: (316) 308-5426

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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