TIDAL INTEGRATED HEALTH, INC
NPI 1346933561
Clinic/Center in Greenville, NC

Q: What is Tidal Integrated Health, Inc's NPI number?

The NPI number for Tidal Integrated Health, Inc is 1346933561. It was assigned to this organization in the NPPES registry on June 1, 2023.

Q: What is Tidal Integrated Health, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since June 01, 2023

1025 DIRECTOR CT STE E, GREENVILLE, NC 27858(252) 493-6525 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 14, 2023, Jun 1, 2023 (2 updates tracked since 2023).

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About Tidal Integrated Health, Inc NPPES

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

TIDAL INTEGRATED HEALTH, INC (NPI 1346933561) is a healthcare organization registered as a clinic/center in Greenville, North Carolina and active in the NPI registry since June 2023. The organization lists Kayzandra Leigh Exum Bond, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1346933561

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameTIDAL INTEGRATED HEALTH, INC

Location Address1025 DIRECTOR CT STE EGreenville, NC 27858-5996

Mailing Address2307 Norwood Ave Ste AGoldsboro, NC 27534-1601 · (252) 493-6788

Phone(252) 493-6525

Organization SubpartNo

Authorized OfficialKayzandra Leigh Exum BondLicensed Psychologist · (252) 493-6788

Enumeration DateJune 1, 2023

Last NPPES UpdateJune 14, 20232 updates tracked since enumeration

NPPES CertifiedJune 14, 2023

✔ NPI 1346933561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedCounselorTaxonomy 101Y00000X

Also ListedBehavior AnalystTaxonomy 103K00000X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

1025 DIRECTOR CT STE E, Greenville, NC 27858

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Tidal Integrated Health, Inc's NPI number?

The NPI number for Tidal Integrated Health, Inc is 1346933561. It was assigned to this organization in the NPPES registry on June 1, 2023.

Where is Tidal Integrated Health, Inc located?

Tidal Integrated Health, Inc is located at 1025 Director Ct Ste E, Greenville, NC 27858. The listed phone number is (252) 493-6525.

What is Tidal Integrated Health, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Tidal Integrated Health, Inc was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.