| Tranquil Minds Therapeutic Services, LLC | |
|
21 Barry Wills Place Springfield MA 01118 | |
| (413) 364-6975 | |
| Not Available |
| Full Name | Tranquil Minds Therapeutic Services, LLC |
|---|---|
| Speciality | Counselor |
| Location | 21 Barry Wills Place, Springfield, Massachusetts |
| Authorized Official Name and Position | Tera La'nice Drummer (OWNER) |
| Authorized Official Contact | 4133646975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tranquil Minds Therapeutic Services, LLC 21 Barry Wills Pl Springfield MA 01118-1508 Ph: (413) 364-6975 | Tranquil Minds Therapeutic Services, LLC 21 Barry Wills Place Springfield MA 01118 Ph: (413) 364-6975 |
| NPI Number | 1285481382 |
|---|---|
| Provider Enumeration Date | 05/06/2024 |
| Last Update Date | 05/06/2024 |
| Certification Date | 05/06/2024 |
| Medicare PECOS PAC ID | 6709398134 |
|---|---|
| Medicare Enrollment ID | O20250623001785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285481382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
| Provider Name | Tera La'nice Drummer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164944336 PECOS PAC ID: 7517479942 Enrollment ID: I20250623001945 |
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