TIDEMARK THERAPY PLLC

Counselor

Code: 101Y00000X

Counselor — Professional

Code: 101YP2500X

Psychologist

Code: 103T00000X

Social Worker — Clinical

Code: 1041C0700X

Clinic/Center — Adult Mental Health

Code: 261QM0850X

Clinic/Center — Multi-Specialty

Code: 261QM1300X

Nurse Practitioner — Psychiatric/Mental Health

Code: 363LP0808X

Clinic/Center

Code: 261Q00000X