Search › Florida › 1041C0700X
Benjamin Tidwell, LCSW, CCDP-DIPLOMATE
NPI 1861407520 · on the registry since 2006
Practice
- Address
- 5905 Us 301 S
Riverview, FL 33578 - Phone
- (866) 389-2727
- Clinicians at this address
- 4
Additional practice sites
- 502 Richie Rd, Cabot, AR
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-11
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 Florida