Tranquil Harbor Family Therapy, Jessica Booth, PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1843 Issued in NC

Legal business name

TRANQUIL HARBOR FAMILY THERAPY, JESSICA BOOTH, PLLC

Practice address

319 Court SQ
Sanford, NC 27330-5658

Phone

(919) 498-4556

Fax

(919) 708-9089

NPI assigned

Aug 30, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica Glasson Booth, MS, LMFT, LCAS-A

Title

Marriage and Family Therapist

Phone

(919) 498-4556

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1518485457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 HICKORY HOUSE RD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273329193",
            "telephone_number": "919-498-4556",
            "fax_number": "919-708-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 COURT SQ",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305658",
            "telephone_number": "919-498-4556",
            "fax_number": "919-708-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUIL HARBOR FAMILY THERAPY, JESSICA BOOTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "GLASSON",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "919-498-4556",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LMFT, LCAS-A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI NUMBER",
            "identifier": "1942682786",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Total Life Care Inc
• Elizabeth Tow
• Joseph A Tozzi, M.D.
• TR Consulting, PLLC
• Maria Tran
• Transcare Transportation
• John Triplett, PHARMD
• Amy Marie Trousdale, LCSW
• Cheyanna Lynn Trujillo, FNP
• Tiffany Nicole Tucker Oldham, CT

• Marriage & Family Therapist in Sanford, NC
• Providers in Sanford, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.