Provider Demographics
NPI:1316718729
Name:TRANQUIL MINDS PSYCHIATRIC SERVICES LLC
Entity type:Organization
Organization Name:TRANQUIL MINDS PSYCHIATRIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PMHNP
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:HOLTHE-LOHAN
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:605-310-0196
Mailing Address - Street 1:513 S SCARLET OAK TRL
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57110-7626
Mailing Address - Country:US
Mailing Address - Phone:605-310-0196
Mailing Address - Fax:605-275-4715
Practice Address - Street 1:4109 S CARNEGIE CIR
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106-2321
Practice Address - Country:US
Practice Address - Phone:605-310-0196
Practice Address - Fax:605-275-4715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-15
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty