MICHELE TIDWELL (NPI# 1396939443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396939443 |
| Entity Type | Individual |
| Full Name | MICHELE TIDWELL |
| Credential | LPC |
| Practice Address |
263 3rd Ave Nw Hickory NC 28601-4911 |
| Practice Telephone | 8283224941 |
| Mailing Telephone | 8283224941 |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2007-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
5455 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 143UY | 01 |
| NC | 6103362 | 05 |
| Street Address |
263 3RD AVE NW |
| City | HICKORY |
| State | NC |
| Zip Code | 28601-4911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255350906 | Debra D Rhodus | Counselor | 263 3rd Ave Nw, Hickory, NC 28601-4911 | 2006-07-19 |
| 1396054532 | Meredith Diane Mcdaniel | Counselor | 263 3rd Ave Nw, Hickory, NC 28601-4911 | 2010-10-06 |
| 1790003366 | Timothy Arthur Boyd | Psychologist | 263 3rd Ave Nw, Hickory, NC 28601-4911 | 2010-05-06 |
| 1306178579 | Cornerstone Counseling Center | Psychologist | 263 3rd Ave Nw, Hickory, NC 28601-4911 | 2010-02-12 |
| 1689818171 | Virginia Detweiler | Counselor | 263 3rd Ave Nw, Hickory, NC 28601-4911 | 2009-04-28 |
| 1891992277 | Courtney Caudle White | Counselor | 263 3rd Ave Nw, Hickory, NC 28601-4911 | 2007-06-29 |
| 1871642116 | Abby Huffman Pulley | Counselor | 263 3rd Ave Nw, Hickory, NC 28601-4911 | 2007-01-09 |
| 1467540377 | Mike R Stewart | Counselor | 263 3rd Ave Nw, Hickory, NC 28601-4911 | 2006-10-10 |
| 1851492235 | Judith Stewart | Counselor | 263 3rd Ave Nw, Hickory, NC 28601-4911 | 2006-09-26 |
| 1275631327 | Ann Smith Hall | Social Worker | 263 3rd Ave Nw, Hickory, NC 28601-4911 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555236 | Mathew Ryan Dunn | Specialist/Technologist | 755 5th St Ne, Hickory, NC 28601 | 2020-10-14 |
| 1669086757 | Alex Neil Hines | Massage Therapist | 2759 North Center Street, Hickory, NC 28601 | 2020-09-04 |
| 1306327515 | Natasha Anderson | Nurse Practitioner | 2830 16th St Ne Apt 94, Hickory, NC 28601 | 2018-08-25 |
| 1902382120 | Danielle Marie Cisney | Counselor | 1219 10th Street Blvd Nw Apt F, Hickory, NC 28601 | 2018-07-11 |
| 1295243681 | Maggie Isabelle Mccarrick | Specialist/Technologist | 2225 6th St Nw, Hickory, NC 28601 | 2018-01-19 |
| 1487165395 | Healthstat Onsite Clinic Hsm Metal | Preventive Medicine | 180 Mcdonald Parkway Sw, Hickory, NC 28601 | 2017-10-18 |
| 1407249691 | Alexcia Dawn Pennell | Registered Nurse | 1501 Tate Blvd Sw, Suite 201, Hickory, NC 28601 | 2015-03-11 |
| 1134527484 | Pamilla Griffin Yount | Specialist | 825 3rd Ave. Nw, Hickory, NC 28601 | 2014-12-18 |
| 1831593615 | Josephine Lovelace Polhemus | Pharmacist | 12th Avenue Ne, Hickory, NC 28601 | 2014-10-22 |
| 1275957128 | Amy Lor | Acupuncturist | 46 Cloninger Mill Rd Ne Ste E, Hickory, NC 28601 | 2014-02-13 |
| Find all providers in zip 28601 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902382120 | Danielle Marie Cisney | Counselor | 1219 10th Street Blvd Nw Apt F, Hickory, NC 28601 | 2018-07-11 |
| 1710379151 | Janice Marlene Blocker | Counselor | 738 4th St Sw, Hickory, NC 28602-3401 | 2015-02-23 |
| 1083012215 | Michelle Lefeavers | Counselor | 1170-a Fairview Church Rd Southeast, Hickory, NC 28602 | 2014-12-22 |
| 1285979104 | Stephen Mcalister | Counselor | 1451 11th Street Dr Nw, Hickory, NC 28601-2221 | 2012-12-04 |
| 1548568454 | Amanda Souther Hector | Counselor | 336 Lenoir-rhyne Boulevard, Suite 1, Hickory, NC 28602 | 2011-03-02 |
| 1245550763 | Beth Proctor Mills | Counselor | 6557 Willowbottom Rd, Hickory, NC 28602-9279 | 2010-06-07 |
| 1871748863 | Nancy Karen Hartman | Counselor | 1170a Fairgrove Church Rd, Hickory, NC 28602-9695 | 2008-11-18 |
| 1831351964 | Candace Barlowe Johnson | Counselor | 2430 2nd Ave Sw, Hickory, NC 28602-2047 | 2008-06-30 |
| 1083809107 | Tamara Nance | Counselor | 155 41st Avenue Ln Nw, Hickory, NC 28601-8093 | 2007-09-11 |
| 1154463180 | Dianne D Sanford | Counselor | 255 18th Street Southeast, Hickory, NC 28602 | 2007-02-13 |
| Find all providers in HICKORY | ||||
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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.