Organization
TIDAL TRANQUILITY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN YECKER LICSW, LCSW (OWNER)
(508) 536-8469
Entity
Organization
Contact information
Practice address
105 WEBSTER ST STE 5, HANOVER, MA 02339-1227
(508) 536-8469
Mailing address
16926 89TH PL N, LOXAHATCHEE, FL 33470-2777
(508) 536-8469
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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