Crystal G Tidball in Oklahoma City - Mental Health
Crystal G Tidball - NPI 1871613166
Crystal G Tidball is a Mental Health in Oklahoma City, Oklahoma. Crystal G Tidball practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Crystal G Tidball is 1871613166. The last update date is 2007-07-08.
Crystal G Tidball's current location address is 105 Se 45th St, Oklahoma City, Oklahoma. You can contact this provider via phone number 4056344400 and fax number 4056321976. The mailing address for Crystal G Tidball is 105 Se 45th St, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystal G Tidball |
|---|---|
| Address | 105 Se 45th St, Oklahoma City, Oklahoma |
| Phone Number | 4056344400 |
| Fax Number | 4056321976 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1871613166 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 105 Se 45th St |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731293201 |
| Phone Number | 4056344400 |
| Fax Number | 4056321976 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Crystal G Tidball by the Centers for Medicare & Medicaid Services?
The Crystal G Tidball has been assigned the NPI (National Provider Identifier) 1871613166 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Crystal G Tidball's facilities are situated?
The facilities of Crystal G Tidball are physically located at the following address: 105 Se 45Th St, Oklahoma City, OK, 731293201.
What is Crystal G Tidball's area of expertise and its corresponding taxonomy classification?
The Crystal G Tidball's field of specialization is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their areas of practice.
When did Crystal G Tidball receive its 1871613166 assignment?
The Crystal G Tidball was assigned its 1871613166 on 2007-03-30, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Crystal G Tidball most recently updated or revised?
The information pertaining to Crystal G Tidball, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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