MR. WILLIAM CLEVELAND TIDWELL JR. (NPI# 1326114448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326114448 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM CLEVELAND TIDWELL JR. |
| Credential | LPC |
| Practice Address |
405 Alabama Avenue Bremen GA 30110 |
| Practice Telephone | 7705372367 |
| Practice Fax Number | 7705371203 |
| Mailing Telephone | 7705372367 |
| Mailing Fax Number | 7705371203 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2008-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC005068 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962849463 | William James Tidwell | Dermatology | 26732 Crown Valley Pkwy Ste 571, Mission Viejo, CA 92691-7305 | 2013-05-24 |
| 1700154986 | William Guy Tidwell | Behavioral Analyst | 5848 N Bogart Ln, Boise, ID 83714-3922 | 2011-12-02 |
| 1801072632 | William Tidwell | Radiology | 1800 12th St, Meridian, MS 39301-4158 | 2008-01-10 |
| Street Address |
405 ALABAMA AVENUE |
| City | BREMEN |
| State | GA |
| Zip Code | 30110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063497998 | Haralson County Board of Health | Psychologist | 405 Alabama Avenue, Bremen, GA 30110-2151 | 2005-12-14 |
| 1497821714 | Tara Susan Robinson | Registered Nurse | 405 Alabama Avenue, Bremen, GA 30110 | 2006-11-28 |
| 1598831851 | Diane Elizabeth Engels | Counselor | 405 Alabama Avenue, Bremen, GA 30110 | 2006-11-28 |
| 1609942812 | Rebecca Jean Maddox | Registered Nurse | 405 Alabama Avenue, Bremen, GA 30110 | 2006-11-28 |
| 1245306398 | Cathy S Miller | Counselor | 405 Alabama Avenue, Bremen, GA 30110 | 2006-11-28 |
| 1164597084 | Virginia Ward | Counselor | 405 Alabama Avenue, Bremen, GA 30110 | 2006-11-24 |
| 1952477895 | Tina Marie Williams | Counselor | 405 Alabama Avenue, Bremen, GA 30110 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596646 | Bhg Lxvi, LLC | Clinic/Center | 1021 Alabama Avenue, Bremen, GA 30110 | 2020-10-22 |
| 1013466788 | Jodi Elizabeth Walker | Speech-Language Pathologist | 35 Shelnutt Dr, Bremen, GA 30110 | 2016-09-23 |
| 1396927539 | Candace Kay Heard | Pharmacist | 240 Tallapoosa St, Bremen, GA 30110 | 2007-11-29 |
| 1871781476 | Allison Kimball Key | Family Medicine | Po Box 728, 222 Gordon Street, Bremen, GA 30110 | 2007-10-09 |
| 1013041706 | Haralson County Board of Health | Day Training, Developmentally Disabled Services | 1449 Cashtown Road, Bremen, GA 30110 | 2007-03-15 |
| 1942343892 | Haralson County Board of Health | Community/Behavioral Health | 1449 Temple Road, Bremen, GA 30110 | 2007-02-14 |
| 1649332008 | Anna Christine Jones | Nurse Practitioner | 101 Tom Murphy Industrial Blvd, Bremen, GA 30110 | 2006-12-14 |
| 1063584324 | Regina Lorren Holloway | Allergy & Immunology | 308 Carrollton Street, Bremen, GA 30110 | 2006-11-14 |
| 1285725887 | Daniel E Mcbrayer | Specialist | 306 Laurel St Ste C, Bremen, GA 30110 | 2006-09-27 |
| 1881795086 | William Robert Lovvorn | Pharmacist | 240 Tallapoosa Street E, Lovvorn Pharmacy, Bremen, GA 30110 | 2006-09-26 |
| Find all providers in zip 30110 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063878114 | Lisa Ann Bradley | Counselor | 189 Charleston Ave, Bremen, GA 30110-7914 | 2016-01-05 |
| 1285886333 | Sara Anderson | Counselor | 124 Buchanan St N, Bremen, GA 30110-1606 | 2008-10-21 |
| 1881622918 | John Endress | Counselor | 405 Alabama Ave, Bremen, GA 30110-2005 | 2006-06-29 |
| 1194253468 | Jamie Leigh Brown | Counselor | 1449 Temple Rd, Bremen, GA 30110-2378 | 2017-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033070 | Joseph Barber | Counselor | 114 Hope Dr, Dallas, GA 30157-2569 | 2020-11-06 |
| 1114528957 | Takelia Hughey | Counselor | 2875 Spring Villa Ln Se, Smyrna, GA 30080-3644 | 2020-11-06 |
| 1083215685 | Peace of Mind Counseling and Therapeutic Services | Counselor | 290 Baywood Way, Hiram, GA 30141-3186 | 2020-11-02 |
| 1780284513 | Hogue Counseling and Consulting Services, LLC | Counselor | 7861 Waterlace Dr, Fairburn, GA 30213-4648 | 2020-10-30 |
| 1245830140 | Tiffany Alberto | Counselor | 350 Lyndale Dr Se, Atlanta, GA 30316-2692 | 2020-10-29 |
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1598365033 | Tiffany Johnson | Counselor | 309 Ivy Chase Ln, Peachtree Corners, GA 30092-4641 | 2020-10-26 |
| 1568061331 | Justin White | Counselor | 1025 Powers Pl, Alpharetta, GA 30009-8356 | 2020-10-22 |
| 1295334209 | Mark Alan Beach | Counselor | 320 Victory Home Ln, Clarkesville, GA 30523 | 2020-10-21 |
| 1396344339 | Savannah Therapeutic Services, LLC | Counselor | 2431 Habersham St Ste C, Savannah, GA 31401-9360 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.