Raelara Tilden, LMFT Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MI0591 Issued in NV

Legal business name

RAELARA TILDEN, LMFT INC

Doing business as

Tranquil Life Family Innovations

Practice address

2725 S Jones Blvd
Suite 109
Las Vegas, NV 89146-5667

Phone

(702) 517-1519

Fax

(702) 829-2876

NPI assigned

Jan 15, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Raelara Tilden, LMFT

Title

President/Clinical Supervisor

Phone

(702) 517-1519

Specialties & licenses 1

Addresses

Other names 1

• Tranquil Life Family Innovations Doing business as

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

{
    "created_epoch": "1484438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484438400000",
    "number": "1851837801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 SILVER SIERRA ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891282159",
            "telephone_number": "702-517-1519",
            "fax_number": "702-829-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 S JONES BLVD",
            "address_2": "SUITE 109",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465667",
            "telephone_number": "702-517-1519",
            "fax_number": "702-829-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAELARA TILDEN, LMFT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-15",
        "last_updated": "2017-01-15",
        "status": "A",
        "authorized_official_last_name": "TILDEN",
        "authorized_official_first_name": "RAELARA",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "702-517-1519",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "MI0591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tranquil Life Family Innovations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Christine Radtke, OD
• Rae Francis Kelly DC a Professional Corp
• Brittany Lynn Rae, LMSW, CSW-I
• Linda L Raebel, OTR/L
• Dolores Rael
• Colleen Rose Raether, P.A.- C
• Waylon Joseph Raether
• Jenny Marie Raety, LMT-CMMP
• Delaney Grace Raetz
• Dunia Rafa

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.