MEDICARE: CALM TIDES PSYCHIATRY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1669339651
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALM TIDES PSYCHIATRY LLC

Provider Business Mailing Address
First Line	:	14361 OCEAN HWY STE 318
Second Line	:
City	:	PAWLEYS ISLAND
State	:	SC
Zip	:	29585-4806
Country	:	US
Telephone Number	:	843-284-6354
Fax Number	:	949-807-5670

Provider Business Practice Location Address
First Line	:	14361 OCEAN HWY STE 318
Second Line	:
City	:	PAWLEYS ISLAND
State	:	SC
Zip	:	29585-4806
Country	:	US
Telephone Number	:	843-284-6354
Fax Number	:	949-807-5670

Authorized Official
Title or Position	:	OWNER
Name	:	MEGAN HIGGINS
Credential	:	MSN, PMHNP-BC
Telephone Number	:	843-796-6771

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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