| Tranquility Counseling Services, Llc | |
|
210 Creekstone Rdg Woodstock GA 30188-3732 | |
| (770) 278-9459 | |
| Not Available |
| Full Name | Tranquility Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 210 Creekstone Rdg, Woodstock, Georgia |
| Authorized Official Name and Position | Shannon Barnes (CEO) |
| Authorized Official Contact | 7705036448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tranquility Counseling Services, Llc 115 Serenade Ln Woodstock GA 30188-3766 Ph: (770) 278-9459 | Tranquility Counseling Services, Llc 210 Creekstone Rdg Woodstock GA 30188-3732 Ph: (770) 278-9459 |
| NPI Number | 1114465713 |
|---|---|
| Provider Enumeration Date | 02/03/2017 |
| Last Update Date | 06/14/2021 |
| Certification Date | 06/14/2021 |
| Medicare PECOS PAC ID | 4082971403 |
|---|---|
| Medicare Enrollment ID | O20181022001735 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114465713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 006542 (Georgia) | Primary |
| Provider Name | Sharon Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841324324 PECOS PAC ID: 8729049838 Enrollment ID: I20181022001937 |
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