Organization
HIGHTIDE MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY FLETCHER (CEO)
(949) 239-9567
Entity
Organization
Contact information
Practice address
580 BROADWAY ST STE 215, LAGUNA BEACH, CA 92651-4328
(949) 239-9567
Mailing address
580 BROADWAY ST STE 215, LAGUNA BEACH, CA 92651-4328
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
07/17/2025
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