Mr Shelby O Tidwell, BA, PSRS in Ada, OK - Counselor

Mr Shelby O Tidwell, BA, PSRS is a Counselor - Mental Health based in Ada, Oklahoma. Mr Shelby O Tidwell is licensed to practice in * (Not Available) (license number ) and his current practice location is 1201 Arlington St Ste G, Ada, Oklahoma. He can be reached at his office (for appointments etc.) via phone at (580) 332-6851.

NPI number for Mr Shelby O Tidwell is 1255658944 and his current mailing address is 1201 Arlington St Ste G, Ada, Oklahoma. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255658944.

Contact Information

	Mr Shelby O Tidwell, BA, PSRS
	1201 Arlington St Ste G, Ada, OK 74820-4072
	(580) 332-6851
	(580) 310-6047

Healthcare Provider's Profile

Full Name	Mr Shelby O Tidwell
Gender	Male
Speciality	Counselor - Mental Health
Location	1201 Arlington St Ste G, Ada, Oklahoma
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1255658944
Provider Enumeration Date: 04/21/2010
Last Update Date: 04/21/2010

Medical Identifiers

Medical identifiers for Mr Shelby O Tidwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255658944	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Shelby O Tidwell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Shelby O Tidwell, BA, PSRS 1201 Arlington St Ste G, Ada, OK 74820-4072 Ph: (580) 332-6851	Mr Shelby O Tidwell, BA, PSRS 1201 Arlington St Ste G, Ada, OK 74820-4072 Ph: (580) 332-6851

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Mr Shelby O Tidwell, BA, PSRS - Counselor in Ada, OK