OrganizationActive
Tidal Therapy, LLC
NPI 1073481719 · Mental Health Clinic/Center (Including Community Mental Health Center) · Maize, KS
Provider details
- NPI number
- 1073481719
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelsey Ball, Owner(316) 308-5426
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
5005 N Emerald Ct
Maize, KS 67101-8717
Phone: (316) 308-5426
Approximate (ZIP-level) locationGet directions
Mailing address
5005 N Emerald Ct
Maize, KS 67101-8717
Registry dates
- Enumerated
- 2025-10-24
- Last updated
- 2025-10-24
- Certified
- 2025-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.