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Consuela Tidwell
Peer Specialist in Hopkinsville, Kentucky
NPI 1649783234

Consuela Tidwell is a Peer Specialist based in Hopkinsville, KY. Consuela Tidwell practices in Hopkinsville, KY. The NPI Number for Consuela Tidwell is 1649783234 and holds a License No. (Kentucky).

The current practice location address for Consuela Tidwell is 607 Hammond Plz, Hopkinsville, KY and can be reached out via phone at 270-881-9551 and via fax at 270-885-5871. You can also correspond with Consuela Tidwell through the mailing address at 3999 FORT CAMPBELL BLVD, HOPKINSVILLE, KY - 42240-4929 (mailing address contact number: ).

Location: 607 Hammond Plz, Hopkinsville, KY, 42240-4929
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649783234
Provider Name
Consuela Tidwell
Credential
Provider Entity Type
Individual
Gender
Female
Address
607 Hammond Plz, Hopkinsville, KY, 42240-4929
Phone Number
270-881-9551
Fax Number
270-885-5871
Provider Enumeration Date
11/06/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
607 Hammond Plz
City
Hopkinsville
State
Kentucky
Zip
42240-4971
Phone Number
270-881-9551
Fax Number
270-885-5871
person
Provider Business Mailing Address Details
Address
3999 Fort Campbell Blvd
City
Hopkinsville
State
Kentucky
Zip
42240-4929
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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