| Law Of Tranquility Llc | |
|
89 Old Trolley Rd Ste 207b Summerville SC 29485-4953 | |
| (803) 968-3841 | |
| Not Available |
| Full Name | Law Of Tranquility Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 89 Old Trolley Rd Ste 207b, Summerville, South Carolina |
| Authorized Official Name and Position | Ryan Nicole Law Johnson (NP, OWNER) |
| Authorized Official Contact | 8435094257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Law Of Tranquility Llc 89 Old Trolley Rd Ste 207b Summerville SC 29485-4953 Ph: (803) 968-3841 | Law Of Tranquility Llc 89 Old Trolley Rd Ste 207b Summerville SC 29485-4953 Ph: (803) 968-3841 |
| NPI Number | 1922889062 |
|---|---|
| Provider Enumeration Date | 10/12/2023 |
| Last Update Date | 07/30/2024 |
| Certification Date | 07/30/2024 |
| Medicare PECOS PAC ID | 5698119683 |
|---|---|
| Medicare Enrollment ID | O20240218000039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922889062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Ryan Law Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417208091 PECOS PAC ID: 1052564523 Enrollment ID: I20130111000239 |
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