| Tranquility Counseling Service, Pllc | |
|
9474 W Fairview Ave Boise ID 83704-8101 | |
| (208) 340-2911 | |
| (208) 908-0094 |
| Full Name | Tranquility Counseling Service, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9474 W Fairview Ave, Boise, Idaho |
| Authorized Official Name and Position | Catherine M Gowans (CLINICAL ADMINISTRATOR) |
| Authorized Official Contact | 2083402911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tranquility Counseling Service, Pllc 9474 W Fairview Ave Boise ID 83704-8101 Ph: (208) 340-2911 | Tranquility Counseling Service, Pllc 9474 W Fairview Ave Boise ID 83704-8101 Ph: (208) 340-2911 |
| NPI Number | 1154031565 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 11/28/2022 |
| Certification Date | 11/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154031565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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