Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PATRICK R TIDWELL, PH.D, LMFT
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · MONTGOMERY, AL
Registration Details
- NPI Number
- 1316450976
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 6, 2017 (8.4582810929202 yrs)
- Last Updated
- Nov 6, 2017
- License
-
251S00000X (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1425 I-65 PARKWAYMONTGOMERY, AL, 361062860Browse AL providers · Browse ZIP 36106
- Phone
- 4049892867
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in MONTGOMERY, AL
| Name | Credential | NPI |
|---|---|---|
| MS. BARBARA ANN CUMMINGS-JACKSON | ICAADC | 1154099810 |
| LAVEEDA COOPER | — | 1881363117 |
| PEGGIE LEE HATTEN | BA, MD, SAC | 1568123578 |
| AMANDA TONNELL TALLEY | — | 1508739756 |
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.