Organization
TIDAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY BALL LCPC (OWNER)
(316) 308-5426
Entity
Organization
Contact information
Practice address
5005 N EMERALD CT, MAIZE, KS 67101-8717
(316) 308-5426
Mailing address
5005 N EMERALD CT, MAIZE, KS 67101-8717
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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