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

Tides Edge Recovery Services LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1295549806

Tides Edge Recovery Services LLC is a Substance Use Disorder Rehabilitation Clinic/Center in Jacksonville Beach, Florida. 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.

See every abbreviation used in this directory →

Practice location Address checks out

75 12th St S
Jacksonville Beach, FL 32250-3422
Phone: (904) 685-9083
Show map & directions

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

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X

Record details

NPI number1295549806
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Yost — President · (904) 778-6161
NPI enumeratedFebruary 4, 2025
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025
Mailing address75 12th St S, Jacksonville Beach, FL 32250-3422