Provider Demographics
NPI:1558084665
Name:TRANQUILITY CENTERS OF VIRGINIA LLC
Entity Type:Organization
Organization Name:TRANQUILITY CENTERS OF VIRGINIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAZIQ
Authorized Official - Middle Name:HAFIZ
Authorized Official - Last Name:EL-AMIN
Authorized Official - Suffix:
Authorized Official - Credentials:ICADC, CADC
Authorized Official - Phone:804-237-9420
Mailing Address - Street 1:14964 SCOTCHTOWN RD
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VA
Mailing Address - Zip Code:23192-2806
Mailing Address - Country:US
Mailing Address - Phone:804-237-9420
Mailing Address - Fax:
Practice Address - Street 1:214 E MAIN ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-3715
Practice Address - Country:US
Practice Address - Phone:804-237-9420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty