| Tranquil Waters Therapy, Llc | |
|
525 S Main St Ste 6 Cheshire CT 06410-3198 | |
| (203) 433-7303 | |
| Not Available |
| Full Name | Tranquil Waters Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 525 S Main St Ste 6, Cheshire, Connecticut |
| Authorized Official Name and Position | Amy J Gallagher (LCSW, OWNER OPERATOR) |
| Authorized Official Contact | 2034337303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tranquil Waters Therapy, Llc 525 S Main St Ste 6 Cheshire CT 06410-3198 Ph: (203) 433-7303 | Tranquil Waters Therapy, Llc 525 S Main St Ste 6 Cheshire CT 06410-3198 Ph: (203) 433-7303 |
| NPI Number | 1194392886 |
|---|---|
| Provider Enumeration Date | 06/10/2021 |
| Last Update Date | 06/10/2021 |
| Certification Date | 06/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194392886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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