1. Home
  2. Directory
  3. Georgia
  4. Decatur
  5. Social Worker
  6. NPI Profile

TIDWELL& MILLER COUNSELING SERVICES, LLC
NPI 1902141617
Social Worker - Clinical in Decatur, GA

Active since December 06, 2012
215 CHURCH ST STE 105, DECATUR, GA 30030(404) 626-9690(770) 808-9273 Get Directions Write a Review

NPPES record last updated: December 6, 2012. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Tidwell& Miller Counseling Services, Llc NPPES

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

TIDWELL& MILLER COUNSELING SERVICES, LLC (NPI 1902141617) is a healthcare organization registered as a clinical in Decatur, Georgia and active in the NPI registry since December 2012. The organization lists Phyllis Wardrett Miller, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1902141617
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTIDWELL& MILLER COUNSELING SERVICES, LLC
Location Address215 CHURCH ST STE 105Decatur, GA 30030-3330
Mailing Address215 Church St Ste 105Decatur, GA 30030-3330 · (404) 626-9690 · Fax (770) 808-9273
Phone(404) 626-9690
Fax(770) 808-9273
Organization SubpartNo
Authorized OfficialPhyllis Wardrett MillerManaging Partner · (404) 626-9690
Enumeration DateDecember 6, 2012
✔ NPI 1902141617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · CSW000649
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
215 CHURCH ST STE 105, Decatur, GA 30030
Open in Google Maps ↗

Other Identifiers 3

Medicaid003112377AGA
Other1750602173GA · Organizational Npi
Other1053692848GA · Individual Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Tidwell& Miller Counseling Services, LLC's NPI number?

The NPI number for Tidwell& Miller Counseling Services, LLC is 1902141617. It was assigned to this organization in the NPPES registry on December 6, 2012.

Where is Tidwell& Miller Counseling Services, LLC located?

Tidwell& Miller Counseling Services, LLC is located at 215 Church St Ste 105, Decatur, GA 30030. The listed phone number is (404) 626-9690.

What is Tidwell& Miller Counseling Services, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Tidwell& Miller Counseling Services, LLC was last updated on December 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.