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

Elysia N Tidey

Individual provider Counselor · NPI 1104541242

Elysia N Tidey is a Counselor in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2022.

Licensed in
IN
In the registry since
2022
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

611 Lincoln Way E
South Bend, IN 46601-3212
Phone: (574) 360-4066
Fax: (866) 843-2486
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (IN)

Record details

NPI number1104541242
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 11, 2022
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022

Other providers in South Bend