| Calm Waters Counseling Services, Llc | |
|
550 Se 6th Ave Ste 200 Delray Beach FL 33483-5306 | |
| (561) 408-8500 | |
| Not Available |
| Full Name | Calm Waters Counseling Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 550 Se 6th Ave Ste 200, Delray Beach, Florida |
| Authorized Official Name and Position | Diane Kelley (CEO) |
| Authorized Official Contact | 5614088500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calm Waters Counseling Services, Llc 550 Se 6th Ave Ste 200 Delray Beach FL 33483-5306 Ph: (561) 408-8500 | Calm Waters Counseling Services, Llc 550 Se 6th Ave Ste 200 Delray Beach FL 33483-5306 Ph: (561) 408-8500 |
| NPI Number | 1831742295 |
|---|---|
| Provider Enumeration Date | 07/24/2019 |
| Last Update Date | 07/19/2023 |
| Certification Date | 07/19/2023 |
| Medicare PECOS PAC ID | 7618342973 |
|---|---|
| Medicare Enrollment ID | O20230419000831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831742295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Diane Kelley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578969226 PECOS PAC ID: 1254670714 Enrollment ID: I20190227001026 |
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