| Tranquil Journey Therapy Pllc | |
|
1834 Vinewood Ln Ste 213 Pueblo CO 81005-2559 | |
| (719) 299-0824 | |
| Not Available |
| Full Name | Tranquil Journey Therapy Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1834 Vinewood Ln Ste 213, Pueblo, Colorado |
| Authorized Official Name and Position | Kurtis James Rivera (THERAPIST & OWNER) |
| Authorized Official Contact | 7192990824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tranquil Journey Therapy Pllc 1834 Vinewood Ln Ste 213 Pueblo CO 81005-2559 Ph: (719) 299-0824 | Tranquil Journey Therapy Pllc 1834 Vinewood Ln Ste 213 Pueblo CO 81005-2559 Ph: (719) 299-0824 |
| NPI Number | 1396581088 |
|---|---|
| Provider Enumeration Date | 07/02/2024 |
| Last Update Date | 07/02/2024 |
| Certification Date | 07/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396581088 | NPI | - | NPPES |
| 1609241751 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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