Provider Demographics
NPI:1366848046
Name:TRANQUIL SOLUTIONS COUNSELING CENTER, LLC
Entity Type:Organization
Organization Name:TRANQUIL SOLUTIONS COUNSELING CENTER, LLC
Other - Org Name:TRANQUIL SOLUTIONS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:JEWELL
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:610-295-5199
Mailing Address - Street 1:7 DOE LN
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-1615
Mailing Address - Country:US
Mailing Address - Phone:610-316-9237
Mailing Address - Fax:
Practice Address - Street 1:21 E LANCASTER AVE STE C
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-2873
Practice Address - Country:US
Practice Address - Phone:610-316-9237
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007783101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty