Provider Demographics
NPI:1811605702
Name:TRANQUILITY BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:TRANQUILITY BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:856-816-4251
Mailing Address - Street 1:149 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:PINE HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08021-6548
Mailing Address - Country:US
Mailing Address - Phone:856-816-4251
Mailing Address - Fax:
Practice Address - Street 1:149 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:PINE HILL
Practice Address - State:NJ
Practice Address - Zip Code:08021-6548
Practice Address - Country:US
Practice Address - Phone:856-816-4251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty