| Quiet Confidence, Llc | |
|
303 E 57th St Savannah GA 31405-3433 | |
| (912) 272-4861 | |
| Not Available |
| Full Name | Quiet Confidence, Llc |
|---|---|
| Speciality | Counselor |
| Location | 303 E 57th St, Savannah, Georgia |
| Authorized Official Name and Position | Luann J. Boulio-lucier (MEMBER) |
| Authorized Official Contact | 9122724861 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quiet Confidence, Llc 303 E 57th St Savannah GA 31405-3433 Ph: (912) 272-4861 | Quiet Confidence, Llc 303 E 57th St Savannah GA 31405-3433 Ph: (912) 272-4861 |
| NPI Number | 1619599875 |
|---|---|
| Provider Enumeration Date | 05/11/2020 |
| Last Update Date | 05/11/2020 |
| Certification Date | 05/11/2020 |
| Medicare PECOS PAC ID | 5092150839 |
|---|---|
| Medicare Enrollment ID | O20240301003392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619599875 | NPI | - | NPPES |
| 1457672115 | Other | GA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Luann Boulio-lucier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457672115 PECOS PAC ID: 6901241744 Enrollment ID: I20240301003448 |
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