Organization Name: | TRANQUIL HARBOR COUNSELING PLLC |
NPI Number: | 1023292497 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CYNTHIA D CALHOUN (CLINCIAL SOCIAL WORKER) |
Mailing Address: | 103 E 8th St Southport |
State: | NC US |
Postal Code: | 284613523 |
Phone Number: | 9104577122 |
Fax Number: | 9104577122 |
NPI Enumeration Date: | 12/20/2007 |
NPI Last Update Date: | 12/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C005381 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |