Provider Demographics
NPI:1821417114
Name:TRANQUIL SOLUTIONS
Entity Type:Organization
Organization Name:TRANQUIL SOLUTIONS
Other - Org Name:MAUREEN AGENS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:MCKENZIE
Authorized Official - Last Name:AGENS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCADC, ACS, NCC
Authorized Official - Phone:201-874-4369
Mailing Address - Street 1:2001 ROUTE 46
Mailing Address - Street 2:SUITE 310
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-1385
Mailing Address - Country:US
Mailing Address - Phone:862-781-0477
Mailing Address - Fax:
Practice Address - Street 1:2001 ROUTE 46
Practice Address - Street 2:SUITE 310
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-1385
Practice Address - Country:US
Practice Address - Phone:862-781-0477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00341400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ838021000OtherMAGELLAN PROVIDER MIS