| Tranquility Legacy | |
|
9821 Perfect Dr Port Saint Lucie FL 34986-3032 | |
| (239) 641-4346 | |
| Not Available |
| Full Name | Tranquility Legacy |
|---|---|
| Speciality | Counselor |
| Location | 9821 Perfect Dr, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Carla D Glasgow (CARLA GLASGOW) |
| Authorized Official Contact | 2396414346 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tranquility Legacy Po Box 880591 Port Saint Lucie FL 34988-0591 Ph: (239) 641-4346 | Tranquility Legacy 9821 Perfect Dr Port Saint Lucie FL 34986-3032 Ph: (239) 641-4346 |
| NPI Number | 1295586790 |
|---|---|
| Provider Enumeration Date | 04/01/2024 |
| Last Update Date | 04/01/2024 |
| Certification Date | 04/01/2024 |
| Medicare PECOS PAC ID | 1658712120 |
|---|---|
| Medicare Enrollment ID | O20240515000974 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295586790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Carla Diandre Glasgow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730783010 PECOS PAC ID: 4486091063 Enrollment ID: I20240319000091 |
Aba Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2074 Se Doverbrook St, Port Saint Lucie, FL 34983 Phone: 772-905-8836 | |
Zenith Inclusive Minds Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1962 Se Doverbrook St, Port Saint Lucie, FL 34983 Phone: 770-598-0874 | |
Thomas B. Unsworth P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6269 Nw Gisela St, Port Saint Lucie, FL 34986 Phone: 561-541-2005 Fax: 772-879-2077 | |
The Silentmarck Empowerment Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6761 Nw Elaine St, Port Saint Lucie, FL 34983 Phone: 772-577-0981 Fax: 772-521-8071 | |
Sunshine Pathways Aba, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2082 Se Erwin Rd, Port Saint Lucie, FL 34952 Phone: 630-644-7118 | |
Neurology Restoration Center Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1701 Se Hillmoor Dr, Suite D-16, Port Saint Lucie, FL 34952 Phone: 772-201-1162 | |
Tamara Gilarski, Lcsw, Rpt-s, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Sw Fountainview Blvd, Port Saint Lucie, FL 34986 Phone: 772-285-7245 Fax: 772-340-7214 |