Blue Tide Pediatric Therapy LLC
Blue Tide Pediatric Therapy LLC is a Psychiatry Physician in Destin, Florida. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 4
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4641 Gulfstarr Dr Ste 102Destin, FL 32541-3776
Phone: (850) 964-6162
Fax: (850) 848-6643
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|---|
| Psychiatry Physician | Taxonomy 2084P0800X |
| Massage Therapist | Taxonomy 225700000X |
| Speech-Language Pathologist | Taxonomy 235Z00000X |
Record details
| NPI number | 1114654431 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Garrett Outland — Owner/Speech-Language Pathologist · (850) 964-6162 |
| Other names | Blue Tide Therapy; Blue Tide Therapy |
| NPI enumerated | August 5, 2022 |
| Last updated in NPPES | January 13, 2025 |
| Certification date | January 13, 2025 |
| Mailing address | 4641 Gulfstarr Dr Ste 102, Destin, FL 32541-3776 |
Other providers in Destin
-
Elizabeth S. Roberson, MD, PA
4641 Gulfstarr Dr Ste 106, Destin, FL 32541-4793 · (850) 654-0054
-
Dr. Mara Jose Fiorentino, MD
4507 Furling Ln Ste 110, Destin, FL 32541-5328 · (850) 654-0054
-
Mr. Eric E Goldberg, DO
137 Crystal Beach Dr Ste 137-C, Destin, FL 32541 · (850) 226-7100