Provider Demographics
NPI:1174135370
Name:TRANQUILITY COUNSELING AND CONSULT, LLC
Entity type:Organization
Organization Name:TRANQUILITY COUNSELING AND CONSULT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAKENDRA
Authorized Official - Middle Name:TAYLAINE
Authorized Official - Last Name:HENAGE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:334-498-2879
Mailing Address - Street 1:11 N WATER ST STE 10290
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36602-5010
Mailing Address - Country:US
Mailing Address - Phone:251-460-3215
Mailing Address - Fax:
Practice Address - Street 1:11 N WATER ST STE 10290
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36602-5010
Practice Address - Country:US
Practice Address - Phone:251-460-3215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-19
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty