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

Tida Healthcare LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1629768775

Tida Healthcare LLC is an Addiction (Substance Use Disorder) Counselor in Crofton, Maryland. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
9
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

2209 Montauk Dr
Crofton, MD 21114-3245
Phone: (240) 305-7446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X
Behavioral Neurology & Neuropsychiatry Physician Taxonomy 2084B0040X
Neurology Physician Taxonomy 2084N0400X
Psychosomatic Medicine Physician Taxonomy 2084P0015X
Addiction Psychiatry Physician Taxonomy 2084P0802X
Geriatric Psychiatry Physician Taxonomy 2084P0805X

Record details

NPI number1629768775
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ida Konchou — Pmhnp · (240) 305-7446
NPI enumeratedMay 11, 2023
Last updated in NPPESMay 11, 2023
Certification dateMay 1, 2023
Mailing address2209 Montauk Dr, Crofton, MD 21114-3245

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