Provider Demographics
NPI:1356007843
Name:EMBRACING TRANQUILITY BEHAVIORAL HEALTH CARE LLC
Entity Type:Organization
Organization Name:EMBRACING TRANQUILITY BEHAVIORAL HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CPRP
Authorized Official - Phone:240-739-8077
Mailing Address - Street 1:14502 GREENVIEW DR STE 400L3
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-3287
Mailing Address - Country:US
Mailing Address - Phone:240-739-8077
Mailing Address - Fax:
Practice Address - Street 1:14504 GREENVIEW DR STE 302
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-4226
Practice Address - Country:US
Practice Address - Phone:240-790-8104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-09
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health