Provider Demographics
NPI:1285481382
Name:TRANQUIL MINDS THERAPEUTIC SERVICES, LLC
Entity type:Organization
Organization Name:TRANQUIL MINDS THERAPEUTIC SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERA
Authorized Official - Middle Name:LA'NICE
Authorized Official - Last Name:DRUMMER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:413-364-6975
Mailing Address - Street 1:21 BARRY WILLS PL
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01118-1508
Mailing Address - Country:US
Mailing Address - Phone:413-364-6975
Mailing Address - Fax:
Practice Address - Street 1:21 BARRY WILLS PLACE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01118
Practice Address - Country:US
Practice Address - Phone:413-364-6975
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty