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

Tidal Psychiatric Services LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1174492342

Tidal Psychiatric Services LLC is a Psychiatric/Mental Health Nurse Practitioner in Saint Leonard, Maryland. Registered with an NPI since 2025.

In the registry since
2025
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

7430 Mayflower Ct
Saint Leonard, MD 20685-2497
Phone: (850) 758-6321
Fax: (540) 307-4943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1174492342
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tsion Mekonnen — Owner · (540) 527-5070
NPI enumeratedNovember 4, 2025
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025
Mailing address7430 Mayflower Ct, Saint Leonard, MD 20685-2497

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