Provider Demographics
NPI:1942943154
Name:TRANQUILITY HEALTH GROUP
Entity Type:Organization
Organization Name:TRANQUILITY HEALTH GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMAEREI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:570-242-1768
Mailing Address - Street 1:326 JUPITER LAKES BLVD APT 2315C
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-7175
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:326 JUPITER LAKES BLVD APT 2315C
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7175
Practice Address - Country:US
Practice Address - Phone:570-242-1768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-15
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty