| The Calm Space Llc | |
|
2047 Pa-309 Allentown PA 18104 | |
| (484) 638-4775 | |
| Not Available |
| Full Name | The Calm Space Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2047 Pa-309, Allentown, Pennsylvania |
| Authorized Official Name and Position | Lindsey Tomcics (OWNER) |
| Authorized Official Contact | 4846384775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Calm Space Llc Po Box 381 Neffs PA 18065-0381 Ph: () - | The Calm Space Llc 2047 Pa-309 Allentown PA 18104 Ph: (484) 638-4775 |
| NPI Number | 1174134191 |
|---|---|
| Provider Enumeration Date | 08/13/2020 |
| Last Update Date | 11/16/2021 |
| Certification Date | 11/16/2021 |
| Medicare PECOS PAC ID | 3274952163 |
|---|---|
| Medicare Enrollment ID | O20200925001361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174134191 | NPI | - | NPPES |
| 103814285001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lindsey M Tomcics |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730658188 PECOS PAC ID: 3274954763 Enrollment ID: I20200610000129 |
| Provider Name | Monica A Molen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386208387 PECOS PAC ID: 9931527850 Enrollment ID: I20200909002019 |
| Provider Name | Travis Albert Gray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316610025 PECOS PAC ID: 3072956143 Enrollment ID: I20240206000229 |
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