Provider Demographics
NPI:1265977441
Name:TRANQUILITY HEALTHCARE SOLUTIONS
Entity type:Organization
Organization Name:TRANQUILITY HEALTHCARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR/CFO/COMPTROLLER
Authorized Official - Prefix:MS
Authorized Official - First Name:MIRNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-736-4550
Mailing Address - Street 1:11251 RICHMOND AVE
Mailing Address - Street 2:SUITE F100-B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-6658
Mailing Address - Country:US
Mailing Address - Phone:281-736-4550
Mailing Address - Fax:
Practice Address - Street 1:11251 RICHMOND AVE
Practice Address - Street 2:SUITE F100-B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-6658
Practice Address - Country:US
Practice Address - Phone:281-736-4550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-27
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX430E6FAE251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health