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TIDE LIFE THERAPY LLC
NPI 1356088108
Clinic/Center - Mental Health (Including Community Mental Health Center) in Isle Of Palms, SC

Active since May 13, 2022
4 27TH AVE APT A, ISLE OF PALMS, SC 29451(843) 603-1213 Get Directions Write a Review

NPPES record last updated: May 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tide Life Therapy Llc NPPES

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

TIDE LIFE THERAPY LLC (NPI 1356088108), doing business as Tide Life Therapy, is a healthcare organization registered as a mental health (including community mental health center) in Isle Of Palms, South Carolina and active in the NPI registry since May 2022. The organization lists Michaela Anne Buckhannon, Clinician, as its authorized official.

NPPES Registry Identity

NPI1356088108
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameTIDE LIFE THERAPY LLC
Location Address4 27TH AVE APT AIsle Of Palms, SC 29451-2402
Mailing AddressPo Box 117Isle Of Palms, SC 29451-0117 · (843) 603-1213
Phone(843) 603-1213
Organization SubpartNo
Authorized OfficialMichaela Anne BuckhannonClinician · (843) 603-1213
Enumeration DateMay 13, 2022
NPPES CertifiedMay 13, 2022
✔ NPI 1356088108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
4 27TH AVE APT A, Isle Of Palms, SC 29451
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Other Names 1

Doing Business AsTide Life Therapy

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 Tide Life Therapy LLC's NPI number?

The NPI number for Tide Life Therapy LLC is 1356088108. It was assigned to this organization in the NPPES registry on May 13, 2022. The provider is doing business as Tide Life Therapy.

Where is Tide Life Therapy LLC located?

Tide Life Therapy LLC is located at 4 27th Ave Apt A, Isle Of Palms, SC 29451. The listed phone number is (843) 603-1213.

What is Tide Life Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Tide Life Therapy LLC was last updated on May 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.