Provider Demographics
NPI:1093288193
Name:TRANQUIL WATERS COUNSELING, INC.
Entity Type:Organization
Organization Name:TRANQUIL WATERS COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JESSSICA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MARQUIS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:781-805-4662
Mailing Address - Street 1:5 WESTFORD ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-6310
Mailing Address - Country:US
Mailing Address - Phone:508-733-0612
Mailing Address - Fax:
Practice Address - Street 1:8 WASHINGTON PL STE 202
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-3259
Practice Address - Country:US
Practice Address - Phone:781-805-4662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-10
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty