| Tranquility Counseling Pllc | |
|
1345 Monroe Ave Nw Ste 234 Grand Rapids MI 49505-4692 | |
| (616) 308-8754 | |
| Not Available |
| Full Name | Tranquility Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1345 Monroe Ave Nw Ste 234, Grand Rapids, Michigan |
| Authorized Official Name and Position | Mark Allen Squeteri (OWNER) |
| Authorized Official Contact | 6163965284 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tranquility Counseling Pllc 1345 Monroe Ave Nw Ste 234 Grand Rapids MI 49505-4692 Ph: (616) 308-8754 | Tranquility Counseling Pllc 1345 Monroe Ave Nw Ste 234 Grand Rapids MI 49505-4692 Ph: (616) 308-8754 |
| NPI Number | 1093379208 |
|---|---|
| Provider Enumeration Date | 04/24/2019 |
| Last Update Date | 04/24/2019 |
| Medicare PECOS PAC ID | 5597161265 |
|---|---|
| Medicare Enrollment ID | O20210903000444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093379208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mark Squeteri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780051102 PECOS PAC ID: 0446656953 Enrollment ID: I20210909001649 |
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