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MR. SHELBY O TIDWELL BA, PSRS
NPI 1255658944
Counselor - Mental Health in Ada, OK

Active since April 21, 2010
1201 ARLINGTON ST STE G, ADA, OK 74820(580) 332-6851(580) 310-6047 Get Directions Write a Review

NPPES record last updated: April 21, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Shelby O Tidwell Ba, Psrs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHELBY O TIDWELL BA, PSRS (NPI 1255658944) is an individual mental health provider in Ada, Oklahoma and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1255658944
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. SHELBY O TIDWELLCredential: BA, PSRS
Location Address1201 ARLINGTON ST STE GAda, OK 74820-4072
Mailing Address1201 Arlington St Ste GAda, OK 74820-4072 · (580) 332-6851 · Fax (580) 310-6047
Phone(580) 332-6851
Fax(580) 310-6047
Sole ProprietorNo
Enumeration DateApril 21, 2010
✔ NPI 1255658944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1201 ARLINGTON ST STE G, Ada, OK 74820
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS CANDY MICHELLE HIGHTOWER M.S, LPC, LADC
Counselor (Professional)
1201 ARLINGTON ST STE G
ADA, OK 74820
Pontotoc County (580) 332-6851
LACEY MARTIN MS, PSRS
Counselor (Mental Health)
1201 ARLINGTON ST STE G
ADA, OK 74820
Pontotoc County (580) 332-6851
MR. JAMES PHILLIP WOOD PSRS
Counselor (Mental Health)
1201 ARLINGTON ST STE G
ADA, OK 74820
Pontotoc County (580) 332-6851
COURTNEY LAINE BLACK CASE MANAGEMENT
Case Manager/Care Coordinator
1201 ARLINGTON ST STE G
ADA, OK 74820
Pontotoc County (580) 235-0274
RHONDA JEAN TAYLOR
Counselor
1201 ARLINGTON ST STE G
ADA, OK 74820
Pontotoc County (580) 235-0274
MRS. ALEX MARIE THOMPSON
Case Manager/Care Coordinator
1201 ARLINGTON ST STE G
ADA, OK 74820
Pontotoc County (580) 332-6851
SOUTHEASTERN OKLAHOMA FAMILY SERVICES, INC.
Community/Behavioral Health
1201 ARLINGTON ST STE G
ADA, OK 74820
Pontotoc County (580) 235-0274
MRS. MELISSA JILL ROBINSON MSPS, LBP
Counselor (Mental Health)
1201 ARLINGTON ST STE G
ADA, OK 74820
Pontotoc County (580) 332-6851

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelby Tidwell's NPI number?

The NPI number for Shelby Tidwell is 1255658944. It was assigned to this individual provider in the NPPES registry on April 21, 2010.

Where is Shelby Tidwell located?

Shelby Tidwell practices at 1201 Arlington St Ste G, Ada, OK 74820. The listed phone number is (580) 332-6851.

What is Shelby Tidwell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Shelby Tidwell was last updated on April 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.