Provider Demographics
NPI:1225790090
Name:TRANQUIL MINDS OF NEW ENGLAND
Entity Type:Organization
Organization Name:TRANQUIL MINDS OF NEW ENGLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:KAREN
Authorized Official - Last Name:ISABELLE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:603-722-6361
Mailing Address - Street 1:5 MACGREGOR CT UNIT 202
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-2735
Mailing Address - Country:US
Mailing Address - Phone:603-722-6361
Mailing Address - Fax:603-722-6331
Practice Address - Street 1:589 W HOLLIS ST STE 203
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-1310
Practice Address - Country:US
Practice Address - Phone:603-722-6361
Practice Address - Fax:603-722-6331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-09
Last Update Date:2021-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)