Individual
LINDSEY C TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
58147
TX
104100000X
Social Worker
Primary
.0009924938
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407841299
—
TX
Enumeration date
08/12/2013
Last updated
11/08/2025
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