| Tranquil Waters, Llc | |
|
191 Sprouse Dr Amherst VA 24521-3360 | |
| (434) 509-8588 | |
| Not Available |
| Full Name | Tranquil Waters, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 191 Sprouse Dr, Amherst, Virginia |
| Authorized Official Name and Position | Jajuan Thomas (RESIDENT IN COUNSELING) |
| Authorized Official Contact | 4345098588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tranquil Waters, Llc 191 Sprouse Dr Amherst VA 24521-3360 Ph: (434) 509-8588 | Tranquil Waters, Llc 191 Sprouse Dr Amherst VA 24521-3360 Ph: (434) 509-8588 |
| NPI Number | 1356020861 |
|---|---|
| Provider Enumeration Date | 07/12/2023 |
| Last Update Date | 07/12/2023 |
| Certification Date | 07/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356020861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |