Tideline Counseling and Mental Health Assocaites

NPI #1841656147 in Kingsland, Georgia

Provider Information

NPI Number: 1841656147
Entity Type: Organization
Organization Name: Tideline Counseling and Mental Health Assocaites
Primary Specialty: Counselor - Professional
Enumeration Date: Jan 4, 2016
Last Updated: Jan 4, 2016

Practice Location

Address: 100 MARINERS DR
Address 2: SUITE D
City: Kingsland
State: Georgia
ZIP Code: 31548-6666
Phone: (912) 276-3487

Authorized Official

Name: CAROL KNOWLES
Title: CFO
Phone: (912) 276-3487

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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