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Elysia Tidey
NPI 1104541242 · on the registry since 2022
Practice
- Address
- 611 Lincoln Way E
South Bend, IN 46601 - Phone
- (574) 360-4066
- Fax
- (866) 843-2486
- Organisation at this address
- Everside Health, Llc
Center For Positive Change, Inc
Center For Positive Change, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana