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

Tidal Therapy, LLC

Organization Professional Counselor · NPI 1073481719

Tidal Therapy, LLC is a Professional Counselor in Maize, Kansas. Registered with an NPI since 2025.

In the registry since
2025
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

5005 N Emerald Ct
Maize, KS 67101-8717
Phone: (316) 308-5426
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1073481719
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelsey Ball — Owner · (316) 308-5426
NPI enumeratedOctober 24, 2025
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026
Mailing address5005 N Emerald Ct, Maize, KS 67101-8717

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