| Tranquil Mind & Wellness, Inc | |
|
6 Alberta Ln Lakeville MA 02347-1864 | |
| (508) 273-3726 | |
| Not Available |
| Full Name | Tranquil Mind & Wellness, Inc |
|---|---|
| Speciality | Counselor |
| Location | 6 Alberta Ln, Lakeville, Massachusetts |
| Authorized Official Name and Position | Ginny Kelly (ACCOUNT MANAGER) |
| Authorized Official Contact | 5089471683 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tranquil Mind & Wellness, Inc 6 Alberta Ln Lakeville MA 02347-1864 Ph: (508) 273-3726 | Tranquil Mind & Wellness, Inc 6 Alberta Ln Lakeville MA 02347-1864 Ph: (508) 273-3726 |
| NPI Number | 1376754267 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 10/10/2023 |
| Certification Date | 10/03/2023 |
| Medicare PECOS PAC ID | 9032191978 |
|---|---|
| Medicare Enrollment ID | O20080317000300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376754267 | NPI | - | NPPES |
| P30156 | Medicaid | MA | |
| 349493 | Other | MA | MAGELLAN BEHAVIORAL |
| P10263 | Other | MA | BCBS OF MASS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Debra A Bulger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649284464 PECOS PAC ID: 2466480223 Enrollment ID: I20050802000749 |
| Provider Name | Ginny L Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619980992 PECOS PAC ID: 5991787871 Enrollment ID: I20070815000659 |
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