| Calming Waters Counseling, Pllc | |
|
276 Lake Havasu Ave S Apt B28 Lake Havasu City AZ 86403-6519 | |
| (928) 566-4637 | |
| (928) 863-7078 |
| Full Name | Calming Waters Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 276 Lake Havasu Ave S Apt B28, Lake Havasu City, Arizona |
| Authorized Official Name and Position | Tanya Powell (THERAPIST/OWNER) |
| Authorized Official Contact | 9285664637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calming Waters Counseling, Pllc 1990 Mcculloch Blvd N # D165 Lake Havasu City AZ 86403-5749 Ph: (928) 566-4637 | Calming Waters Counseling, Pllc 276 Lake Havasu Ave S Apt B28 Lake Havasu City AZ 86403-6519 Ph: (928) 566-4637 |
| NPI Number | 1427775956 |
|---|---|
| Provider Enumeration Date | 10/25/2022 |
| Last Update Date | 11/02/2022 |
| Certification Date | 11/02/2022 |
| Medicare PECOS PAC ID | 1951770783 |
|---|---|
| Medicare Enrollment ID | O20240421000135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427775956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Tanya Powell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972926830 PECOS PAC ID: 7315316148 Enrollment ID: I20240421000139 |
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