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

Mindful Tides Therapy LLC

Organization Professional Counselor · NPI 1750086500

Mindful Tides Therapy LLC is a Professional Counselor in Canonsburg, Pennsylvania. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2400 Ansys Dr Ste 102
Canonsburg, PA 15317
Phone: (412) 737-0990
Fax: (412) 533-2696
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1750086500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kindall Davis — Managing Partner · (724) 601-2421
NPI enumeratedApril 3, 2023
Last updated in NPPESJanuary 31, 2024
Certification dateJanuary 25, 2024
Mailing address2400 Ansys Dr Ste 102, Canonsburg, PA 15317-0403

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