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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. CAROL TIDWELL, MS. LCPC

Active Sole Proprietor

MS. CAROL TIDWELL, MS. LCPC is a Mental Health Counselor healthcare provider located in EAGLE, Idaho. NPI 1003250754 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · EAGLE, ID

Registration Details

NPI Number
1003250754
Provider Type
Individual
Gender
Female
NPI Issued
Apr 24, 2013 (13.26247207708 yrs)
Last Updated
Jun 5, 2023
License
LCPC-5223 (ID)
Sole Proprietor
Yes

Practice Information

Address
225 S LINDER RD APT A308
EAGLE, ID, 836164421
Browse ID providers · Browse ZIP 83616
Phone
2085461808
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in EAGLE, ID

Name Credential NPI
MS. GLORIA S GELEYNSE M.ED., LCPC 1396715603
JUDITH L. JOHNSON APRN, CNS 1366536948
HEATHER L GLAZA LCPC 1750438388
BRENDA PICKETT LCSW 1609917293
CAROL PANGBURN 1205978095
AUSTIN M REED 1437281755
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.