Tranquility Counseling Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004497 Issued in GA

Legal business name

TRANQUILITY COUNSELING CENTER, LLC

Practice address

404 Miller Ave Unit C
Tybee Island, GA 31328-9663

Phone

(330) 550-3471

NPI assigned

Jun 5, 2013

Last updated

Jun 5, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberley Simon, LCSWNPI 1396046777

Title

Owner/Therapist

Phone

(330) 550-3471

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberley Simon, LCSW

  • Clinical Social Worker
  • Tybee Island, GA
  • NPI 1396046777
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1174961791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1782",
            "city": "TYBEE ISLAND",
            "state": "GA",
            "postal_code": "313281782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 MILLER AVE UNIT C",
            "city": "TYBEE ISLAND",
            "state": "GA",
            "postal_code": "313289663",
            "telephone_number": "330-550-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUILITY COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "330-550-3471",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Simon, LCSW
• Jessanna Elizabeth Smith, DMD
• Southeast Lung & Critical Care Specialists, PC (Southeast Lung Associates)
• Kristin Leo Swanson
• The Rosewood of Tybee Island of Journey LLC
• Tybee Island Care Center LLC
• Tybee Island Trails of Journey LLC
• West Physical Therapy. Inc
• West Rehab Services, Inc.
• Becky W West, PT

• Clinical Social Worker in Tybee Island, GA
• Providers in Tybee Island, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.