| NPI | 1801754726 |
|---|---|
| Doing Business As | HIGH TIDE BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | TARA NICOLE KIDD Owner/Clinical Director 850-779-0881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-01-10 |
| Last Update Date | 2026-07-14 |