Provider Demographics
NPI:1275342362
Name:TRANQUIL TRANSFORMATION LLC
Entity type:Organization
Organization Name:TRANQUIL TRANSFORMATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DENES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:321-986-7113
Mailing Address - Street 1:4328 ORION DR APT C
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-3628
Mailing Address - Country:US
Mailing Address - Phone:321-986-7113
Mailing Address - Fax:
Practice Address - Street 1:4328 ORION DR APT C
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-3628
Practice Address - Country:US
Practice Address - Phone:321-986-7113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-02
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty