| Tidal Tranquility Therapy, Llc | |
|
105 Webster St Ste 5 Hanover MA 02339-1227 | |
| (508) 536-8469 | |
| Not Available |
| Full Name | Tidal Tranquility Therapy, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 105 Webster St Ste 5, Hanover, Massachusetts |
| Authorized Official Name and Position | Caitlin Yecker (OWNER) |
| Authorized Official Contact | 5085368469 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidal Tranquility Therapy, Llc 16926 89th Pl N Loxahatchee FL 33470-2777 Ph: (508) 536-8469 | Tidal Tranquility Therapy, Llc 105 Webster St Ste 5 Hanover MA 02339-1227 Ph: (508) 536-8469 |
| NPI Number | 1063204428 |
|---|---|
| Provider Enumeration Date | 05/21/2025 |
| Last Update Date | 05/21/2025 |
| Certification Date | 05/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063204428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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