| Tranquility Mental And Behavioral Health Llc | |
|
14192 Carlisle Ln Gulfport MS 39503-4542 | |
| (601) 660-0572 | |
| Not Available |
| Full Name | Tranquility Mental And Behavioral Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14192 Carlisle Ln, Gulfport, Mississippi |
| Authorized Official Name and Position | Sheryl Jefferson (OWNER) |
| Authorized Official Contact | 6016600572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tranquility Mental And Behavioral Health Llc 14192 Carlisle Ln Gulfport MS 39503-4542 Ph: (601) 660-0572 | Tranquility Mental And Behavioral Health Llc 14192 Carlisle Ln Gulfport MS 39503-4542 Ph: (601) 660-0572 |
| NPI Number | 1376262303 |
|---|---|
| Provider Enumeration Date | 08/23/2022 |
| Last Update Date | 08/23/2022 |
| Certification Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376262303 | NPI | - | NPPES |
| 1354625 | Other | MS | SECRETARY OF STATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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