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ALISSA TIDWELL
NPI 1669067948
Community/Behavioral Health in Dayton, OH

Active since March 08, 2021
600 WAYNE AVE, DAYTON, OH 45410(937) 496-2000 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alissa Tidwell NPPES

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

ALISSA TIDWELL (NPI 1669067948) is an individual community/behavioral health provider in Dayton, Ohio and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1669067948
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameALISSA TIDWELL
Location Address600 WAYNE AVEDayton, OH 45410-1122
Mailing Address600 Wayne AveDayton, OH 45410-1122 · (937) 496-2000
Phone(937) 496-2000
Sole ProprietorYes
Enumeration DateMarch 8, 2021
NPPES CertifiedMarch 8, 2021
✔ NPI 1669067948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
600 WAYNE AVE, Dayton, OH 45410
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Other Providers at the Same Location NPPES 20

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

LETICIA NICOLE DRANE
Case Manager/Care Coordinator
600 WAYNE AVE
DAYTON, OH 45410
Montgomery County (937) 496-2000
MARGARET H. HUGHES LSW
Social Worker
600 WAYNE AVE
DAYTON, OH 45410
Montgomery County (937) 396-2535
AMANDA PETTIT
Community/Behavioral Health
600 WAYNE AVE
DAYTON, OH 45410
Montgomery County (937) 496-2000
ROBERT JACKSON
Behavior Technician
600 WAYNE AVE
DAYTON, OH 45410
Montgomery County (937) 496-2000
EASTWAY CORPORATION
Community/Behavioral Health
600 WAYNE AVE
DAYTON, OH 45410
Montgomery County (937) 496-2000
AISHA AJULON SMITH BACHELO OF SCIENCE
Community/Behavioral Health
600 WAYNE AVE
DAYTON, OH 45410
Montgomery County (937) 496-2000
SHAL'AMAR COOK
Licensed Practical Nurse
600 WAYNE AVE
DAYTON, OH 45410
Montgomery County (937) 496-2000
TAMIKA DANIELLE MORRISON
Community/Behavioral Health
600 WAYNE AVE
DAYTON, OH 45410
Montgomery County (937) 496-2000

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 Alissa Tidwell's NPI number?

The NPI number for Alissa Tidwell is 1669067948. It was assigned to this individual provider in the NPPES registry on March 8, 2021.

Where is Alissa Tidwell located?

Alissa Tidwell practices at 600 Wayne Ave, Dayton, OH 45410. The listed phone number is (937) 496-2000.

What is Alissa Tidwell's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Alissa Tidwell was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.