Tide Life Therapy LLC
NPI 1356088108 · Mental Health Clinic/Center (Including Community Mental Health Center) · Isle of Palms, SC
Tide Life Therapy LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Isle of Palms, SC (NPI 1356088108).
Provider details
- NPI number
- 1356088108
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michaela Buckhannon, Clinician(843) 603-1213
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Tide Life Therapy
Registry dates
- Enumerated
- 2022-05-13
- Last updated
- 2022-05-13
- Certified
- 2022-05-13
Frequently asked questions
- What is Tide Life Therapy LLC's NPI number?
- Tide Life Therapy LLC's National Provider Identifier (NPI) is 1356088108, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tide Life Therapy LLC?
- Tide Life Therapy LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Tide Life Therapy LLC located?
- Tide Life Therapy LLC's practice location on file with NPPES is 4 27th Ave Apt a, Isle of Palms, SC 29451-2402.
- What is Tide Life Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Tide Life Therapy LLC is (843) 603-1213.
- Who is the authorized official for Tide Life Therapy LLC?
- The authorized official listed on Tide Life Therapy LLC's NPPES record is Michaela Buckhannon, Clinician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tide Life Therapy LLC's NPI active?
- Yes — Tide Life Therapy LLC's NPI (1356088108) is active in the NPPES registry as of the last update on 2022-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.