Organization
TIDAL COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLIE OLINE PUTYRAE MA (MENTAL HEALTH COUNSELING)
(509) 981-3104
Entity
Organization
Contact information
Practice address
1490 NORTHBANK PKWY SUITE 248, TUSCALOOSA, AL 35406-2439
(205) 722-7227
Mailing address
1490 NORTHBANK PKWY SUITE 248, TUSCALOOSA, AL 35406-2439
(205) 722-7227
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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