| Tranquil Energy, Llc | |
|
225 Providence Pike Putnam CT 06260-2526 | |
| (860) 420-9141 | |
| Not Available |
| Full Name | Tranquil Energy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 225 Providence Pike, Putnam, Connecticut |
| Authorized Official Name and Position | Tanya Abram (CLINICIAN/THERAPIST) |
| Authorized Official Contact | 8604209141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tranquil Energy, Llc 328 Walnut St Putnam CT 06260-2702 Ph: () - | Tranquil Energy, Llc 225 Providence Pike Putnam CT 06260-2526 Ph: (860) 420-9141 |
| NPI Number | 1174051882 |
|---|---|
| Provider Enumeration Date | 05/24/2017 |
| Last Update Date | 05/24/2017 |
| Medicare PECOS PAC ID | 8224396726 |
|---|---|
| Medicare Enrollment ID | O20171211000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174051882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 008597 (Connecticut) | Primary |
| Provider Name | Tanya Abram |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861425084 PECOS PAC ID: 6103043104 Enrollment ID: I20140815000489 |
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