| Tranquil Waters Counseling (lcsw) Pllc | |
|
4535 Southwestern Blvd Ste 706a Hamburg NY 14075-1870 | |
| (716) 449-0494 | |
| Not Available |
| Full Name | Tranquil Waters Counseling (lcsw) Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4535 Southwestern Blvd Ste 706a, Hamburg, New York |
| Authorized Official Name and Position | Cheri L. Dietz (SOLE MEMBER) |
| Authorized Official Contact | 7164490494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tranquil Waters Counseling (lcsw) Pllc 6252 Tupelo Ln Lake View NY 14085-9472 Ph: (716) 713-3532 | Tranquil Waters Counseling (lcsw) Pllc 4535 Southwestern Blvd Ste 706a Hamburg NY 14075-1870 Ph: (716) 449-0494 |
| NPI Number | 1568087146 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 06/23/2020 |
| Certification Date | 06/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568087146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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