| Tranquil Moments, Pllc | |
|
704 E Main St Stanford KY 40484-1405 | |
| (606) 365-7007 | |
| (606) 365-7001 |
| Full Name | Tranquil Moments, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 704 E Main St, Stanford, Kentucky |
| Authorized Official Name and Position | Gayle Denham (OWNER) |
| Authorized Official Contact | 6066691507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tranquil Moments, Pllc Po Box 661 Stanford KY 40484-0661 Ph: (606) 365-7007 | Tranquil Moments, Pllc 704 E Main St Stanford KY 40484-1405 Ph: (606) 365-7007 |
| NPI Number | 1922035211 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922035211 | NPI | - | NPPES |
| 1179045 | Other | KY | CHA |
| 78028297 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2829P (Kentucky) | Primary |
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