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JADA TIDWELL, INC
NPI 1316270085
Clinic/Center - Adolescent and Children Mental Health in Decatur, GA

Active since September 14, 2009
215 CHURCH ST, STE 105, DECATUR, GA 30030(404) 797-0889(404) 378-2039 Get Directions Write a Review

NPPES record last updated: September 14, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jada Tidwell, Inc NPPES

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

JADA TIDWELL, INC (NPI 1316270085) is a healthcare organization registered as an adolescent and children mental health in Decatur, Georgia and active in the NPI registry since September 2009. The organization lists Jada A. Tidwell, Owner, as its authorized official.

NPPES Registry Identity

NPI1316270085
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameJADA TIDWELL, INC
Location Address215 CHURCH ST, STE 105Decatur, GA 30030-4617
Mailing Address215 Church St, Ste 105Decatur, GA 30030-4617 · (404) 797-0889 · Fax (404) 378-2039
Phone(404) 797-0889
Fax(404) 378-2039
Organization SubpartNo
Authorized OfficialJada A. TidwellOwner · (404) 797-0889
Enumeration DateSeptember 14, 2009
✔ NPI 1316270085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
215 CHURCH ST, Decatur, GA 30030
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Other Providers at the Same Location NPPES 6

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

MS. HEATHER I KOTLER LCSW
Social Worker (Clinical)
215 CHURCH ST, SUITE 105
DECATUR, GA 30030
Dekalb County (404) 798-7228
RESTORE COUNSELING & CARE MANAGEMENT, LLC
Counselor (Professional)
215 CHURCH ST, STE 105-107
DECATUR, GA 30030
Dekalb County (404) 259-8787
EMILY FITZPATRICK LPC
Counselor (Professional)
215 CHURCH ST, STE 105-107
DECATUR, GA 30030
Dekalb County (404) 259-8787
SARAH SNYDER DAILEY LCSW
Social Worker (Clinical)
215 CHURCH ST, SUITE 105
DECATUR, GA 30030
Dekalb County (404) 377-3773
DR. AUDREY L OWENS DAY PHD
Psychologist
215 CHURCH ST, SUITE 102
DECATUR, GA 30030
Dekalb County (404) 229-6701
DR. MELISSA DAWN SEXTON PHD, MDIV, LMFT
Marriage & Family Therapist
215 CHURCH ST, SUITE 109
DECATUR, GA 30030
Dekalb County (678) 640-2726

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 Jada Tidwell, Inc's NPI number?

The NPI number for Jada Tidwell, Inc is 1316270085. It was assigned to this organization in the NPPES registry on September 14, 2009.

Where is Jada Tidwell, Inc located?

Jada Tidwell, Inc is located at 215 Church St Ste 105, Decatur, GA 30030. The listed phone number is (404) 797-0889.

What is Jada Tidwell, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Jada Tidwell, Inc was last updated on September 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.