Organization
TIDALHEALTH SPECIALTY CARE, LLC
Active
Parent organization
TIDALHEALTH SPECIALTY CARE, LLC
Other names
TidalHealth Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
TIDALHEALTH SPECIALTY CARE, LLC
Authorized official
WILLIAM PELOT (CHIEF ADMINISTRATIVE OFFICER)
(410) 543-7497
Entity
Organization
Contact information
Practice address
200 E VINE ST, SALISBURY, MD 21804-5531
(410) 543-7119
Mailing address
PO BOX 2498, SALISBURY, MD 21802-2498
(410) 912-4976
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/15/2020
Last updated
07/22/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up