Organization
TRANQUIL SPACES COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI S. GAYLOR LIMHP, LPC (OWNER)
(402) 340-9092
Entity
Organization
Contact information
Practice address
106 E WILSON AVE, NORFOLK, NE 68701-2969
(402) 340-9092
(888) 920-1942
Mailing address
404 N 3RD ST, PLAINVIEW, NE 68769-4008
(402) 340-9092
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50504047703
—
NE
Enumeration date
12/03/2019
Last updated
12/12/2024
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