Organization
TIDALHEALTH SPECIALTY CARE, LLC
Active
Other names
TidalHealth Palliative Care for Social Workers
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PELOT (CHIEF ADMINISTRATOR OFFICER)
(410) 543-7497
Entity
Organization
Contact information
Practice address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 543-7162
Mailing address
PO BOX 825461, PHILADELPHIA, PA 19182-5461
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/16/2025
Last updated
10/21/2025
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