| Villeda's Tranquility Health Solutions, Llc. | |
|
8800 Se Sunnyside Rd Ste 257s Clackamas OR 97015-5738 | |
| (503) 747-9502 | |
| (877) 744-1853 |
| Full Name | Villeda's Tranquility Health Solutions, Llc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8800 Se Sunnyside Rd Ste 257s, Clackamas, Oregon |
| Authorized Official Name and Position | Ileana Villeda (OWNER/OPERATOR) |
| Authorized Official Contact | 5037479502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Villeda's Tranquility Health Solutions, Llc. 8800 Se Sunnyside Rd Ste 257s Clackamas OR 97015-5738 Ph: (503) 747-9502 | Villeda's Tranquility Health Solutions, Llc. 8800 Se Sunnyside Rd Ste 257s Clackamas OR 97015-5738 Ph: (503) 747-9502 |
| NPI Number | 1003533308 |
|---|---|
| Provider Enumeration Date | 10/26/2022 |
| Last Update Date | 10/26/2022 |
| Certification Date | 10/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003533308 | NPI | - | NPPES |
| 500757086 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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