Mindful Tides Therapy LLC
NPI 1750086500ActiveOrganization· Counselor, Professional· Canonsburg, PA
Counselor, Professional in Canonsburg, Pennsylvania, registered in NPPES in April 2023. The authorized official on file is Kindall Davis, Managing Partner.
Overview
| NPI | 1750086500 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 3, 2023 |
| Last updated in NPPES | Jan 31, 2024 |
| Certified by provider | Jan 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
| Marriage & Family Therapist | 106H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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