| Tranquil Spaces Counseling Llc | |
|
106 E Wilson Ave Norfolk NE 68701-2969 | |
| (402) 340-9092 | |
| (888) 920-1942 |
| Full Name | Tranquil Spaces Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 106 E Wilson Ave, Norfolk, Nebraska |
| Authorized Official Name and Position | Traci S. Gaylor (OWNER) |
| Authorized Official Contact | 4023409092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tranquil Spaces Counseling Llc 404 N 3rd St Plainview NE 68769-4008 Ph: (402) 340-9092 | Tranquil Spaces Counseling Llc 106 E Wilson Ave Norfolk NE 68701-2969 Ph: (402) 340-9092 |
| NPI Number | 1982241436 |
|---|---|
| Provider Enumeration Date | 12/03/2019 |
| Last Update Date | 12/12/2024 |
| Certification Date | 12/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982241436 | NPI | - | NPPES |
| 50504047703 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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