Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jada Tidwell, Inc

Organization Adolescent and Children Mental Health Clinic/Center · NPI 1316270085

Jada Tidwell, Inc is an Adolescent and Children Mental Health Clinic/Center in Decatur, Georgia. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

215 Church St Ste 105
Decatur, GA 30030-4617
Phone: (404) 797-0889
Fax: (404) 378-2039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent and Children Mental Health Clinic/Center (primary) Taxonomy 261QM0855X

Record details

NPI number1316270085
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jada Tidwell — Owner · (404) 797-0889
NPI enumeratedSeptember 14, 2009
Last updated in NPPESSeptember 14, 2009
Mailing address215 Church St, Ste 105, Decatur, GA 30030-4617

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