Individual
KERISHA TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
95 WHITE BRIDGE PIKE STE 400, NASHVILLE, TN 37205-1426
(615) 570-1190
Mailing address
6030 SAGI CIR, LA VERGNE, TN 37086-2778
(615) 499-8734
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
TN
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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