Tranquility Mental and Behavioral Health LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TRANQUILITY MENTAL AND BEHAVIORAL HEALTH LLC

Practice address

14192 Carlisle LN
Gulfport, MS 39503-4542

Phone

(601) 660-0572

NPI assigned

Aug 23, 2022

Organization subpart

No

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

Authorized official

Name

Sheryl Jefferson

Title

Owner

Phone

(601) 660-0572

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1376262303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14192 CARLISLE LN",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034542",
            "telephone_number": "601-660-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14192 CARLISLE LN",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034542",
            "telephone_number": "601-660-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUILITY MENTAL AND BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-660-0572"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECRETARY OF STATE",
            "identifier": "1354625",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tranquilitymandbhealth@gmail.com",
            "affiliation": "N",
            "address_1": "14192 Carlisle Ln",
            "city": "Gulfport",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395034542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Huu Tran, PHARMD
• Laura A Tran, PHARM D
• Mai Thi Tran
• Peter Linh Tran II
• Thuy T Tran, P.A.
• Jennifer Leigh Trapani
• Monica E Trautman
• Robert Gordon Travnicek, MD MPH
• Sarah Elisabeth Treutel, LMSW
• Tri County Eye Clinic, PLLC

• Community/Behavioral Health Agency in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Community/Behavioral Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.