Tranquility Grove, LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

TRANQUILITY GROVE, LLC

Practice address

12433 US Highway 29
Chatham, VA 24531-3464

Phone

(828) 244-2622

NPI assigned

Jan 16, 2025

Organization subpart

No

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

Authorized official

Name

La'Courtney SetzerNPI 1023413887

Title

Clinical Director

Phone

(828) 244-2622

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lacourtney Setzer, LCSW

  • Clinical Social Worker
  • Newton, NC
  • NPI 1023413887
  NPD Authorized official

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1932910189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12433 US HIGHWAY 29",
            "city": "CHATHAM",
            "state": "VA",
            "postal_code": "245313464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12433 US HIGHWAY 29",
            "city": "CHATHAM",
            "state": "VA",
            "postal_code": "245313464",
            "telephone_number": "828-244-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUILITY GROVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "SETZER",
        "authorized_official_first_name": "LA'COURTNEY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "828-244-2622"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Latasha M Vamper
• Virginia CVS Pharmacy LLC
• Virginia Sport & Spine Institute of Chatham PLLC
• Denise Stickel Walker
• Kaitlyn Lipscomb Wall, M.S, ED.S., NCSP

• Exclusive Provider Organization in Chatham, VA
• Providers in Chatham, VA by specialty
• Exclusive Provider Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.