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

Tabitha Lynnae Tidwell

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497344170

Tabitha Lynnae Tidwell is a Student in an Organized Health Care Education/Training Program in View Park, California. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3

Practice location Address checks out

5300 Angeles Vista Blvd
View Park, CA 90043-1648
Phone: (323) 295-4555
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1497344170
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 15, 2021
Last updated in NPPESSeptember 19, 2022
Certification dateSeptember 19, 2022
Mailing address5300 Angeles Vista Blvd, View Park, CA 90043-1648

Other providers in View Park