Ajk Tranquil Space

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

AJK TRANQUIL SPACE

Practice address

1376 Old Bridge Rd Ste 102
Woodbridge, VA 22192-2766

Phone

(202) 207-4885

NPI assigned

Jan 26, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Youssouf Kouyate

Title

Office Manager

Phone

(202) 207-4885

Specialties & licenses 1

Addresses

Other names 1

• Serenity health and wellbeing Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Kayira Home Care LLC

  • Home Health Agency
  • Woodbridge, VA
  • NPI 1508665985
  NPPES parent name

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1629830484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1376 OLD BRIDGE RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922762",
            "telephone_number": "202-207-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1376 OLD BRIDGE RD STE 102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922766",
            "telephone_number": "202-207-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJK TRANQUIL SPACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "KOUYATE",
        "authorized_official_first_name": "YOUSSOUF",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "202-207-4885",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity health and wellbeing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maham Ahmeed
• Aiding Hands Support Services LLC
• Airo Healthcare
• Aj Residence LLC
• Jocelyn Kehinde Ajala, MD
• Ugochi Akoma, MD
• Elizabeth Akpati
• Mohammad Taahaaa Akram
• Fardin Akrami Khasraghi, M.D.
• Anita Dedei Akwetey

• Mental Health Clinic/Center (Including Community Mental Health Center) in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.