| Tranquil Point Connections, Llc | |
|
110 Evans Mill Dr Ste 305 Dallas GA 30157-1623 | |
| (678) 348-6390 | |
| Not Available |
| Full Name | Tranquil Point Connections, Llc |
|---|---|
| Speciality | Counselor |
| Location | 110 Evans Mill Dr Ste 305, Dallas, Georgia |
| Authorized Official Name and Position | Juliet C Ihedike (OWNER/ PSYCHOTHERAPIST) |
| Authorized Official Contact | 6783486390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tranquil Point Connections, Llc 7353 Stone Bluff Dr Douglasville GA 30134-3776 Ph: (678) 348-6390 | Tranquil Point Connections, Llc 110 Evans Mill Dr Ste 305 Dallas GA 30157-1623 Ph: (678) 348-6390 |
| NPI Number | 1881357093 |
|---|---|
| Provider Enumeration Date | 10/15/2021 |
| Last Update Date | 07/11/2022 |
| Certification Date | 07/11/2022 |
| Medicare PECOS PAC ID | 6608257993 |
|---|---|
| Medicare Enrollment ID | O20220718002880 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881357093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Juliet C Ihedike |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962768572 PECOS PAC ID: 9335557560 Enrollment ID: I20210428000096 |
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