Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
TIDAL BALANCED WELLNESS CENTER
Active
Organization
TIDAL BALANCED WELLNESS CENTER
Active
Other names
Tidal Balanced Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON BARELLO CRAYTON LICSW (OWNER)
(757) 921-7704
Entity
Organization
Contact information
Practice address
325 TACOMA AVE S STE 1, TACOMA, WA 98402-2550
(757) 921-7704
Mailing address
325 TACOMA AVE S STE 1, TACOMA, WA 98402-2550
(757) 921-7704
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
04/10/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up