Tidwell, Kristi M.

Tidwell, Kristi M. is an individual health care provider with primary practice located at 1300 E Bradford Pkwy Burrell Behavioral Health, Springfield MO 65804-4264. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Tidwell, Kristi M. can be contacted via phone (417) 269-5400.

Contact Information

Primary practice address
1300 E Bradford Pkwy Burrell Behavioral Health Springfield MO 65804-4264
Phone: (417) 269-5400
Fax: (417) 269-7212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X Missouri

Profile Details

NPI number 1609864529
LBN Legal business name Tidwell, Kristi M.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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