Elysia N Tidey - South Bend, IN

Elysia N Tidey

Counselor in South Bend, Indiana

NPI 1104541242

Elysia N Tidey is a Counselor based in South Bend, IN. Elysia N Tidey practices in South Bend, IN. The NPI Number for Elysia N Tidey is 1104541242 and holds a License No. (Indiana).

The current practice location address for Elysia N Tidey is 611 Lincoln Way E, South Bend, IN and can be reached out via phone at 574-360-4066 and via fax at 866-843-2486.

Location: 611 Lincoln Way E, South Bend, IN, 46601-3212

NPI Number

1104541242

Provider Name

Elysia N Tidey

Credential

Provider Entity Type

Individual

Gender

Female

Address

611 Lincoln Way E, South Bend, IN, 46601-3212

Phone Number

574-360-4066

Fax Number

866-843-2486

Provider Enumeration Date

10/11/2022

Last Update Date

03/10/2024

Address

611 Lincoln Way E

City

South Bend

State

Indiana

Zip

46601-3212

Phone Number

574-360-4066

Fax Number

866-843-2486

Address

611 Lincoln Way E

City

South Bend

State

Indiana

Zip

46601-3212

Phone Number

574-360-4066

Fax Number

866-843-2486

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

(Indiana)

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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