| Tranquility Home Llc | |
|
1845 E Broadway Rd Ste 113 Tempe AZ 85282-1634 | |
| (510) 827-5385 | |
| Not Available |
| Full Name | Tranquility Home Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1845 E Broadway Rd Ste 113, Tempe, Arizona |
| Authorized Official Name and Position | Robert Bob Ssesanga (OWNER) |
| Authorized Official Contact | 5108275385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tranquility Home Llc 400 N 2nd Ave Apt 608 Phoenix AZ 85003 Ph: (510) 827-5385 | Tranquility Home Llc 1845 E Broadway Rd Ste 113 Tempe AZ 85282-1634 Ph: (510) 827-5385 |
| NPI Number | 1104513316 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 07/10/2023 |
| Certification Date | 07/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104513316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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