# TRANQUIL MINDS, NURSE PRACTITIONER IN PSYCHIATRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164345435
- **Authorized official:** KELLY CONKLIN CONKLIN NP (OWNER)
- **Authorized official phone:** (949) 769-4481

## Contact information

- **Practice address:** 455 RIDGE RD, HARTSDALE, NY 10530-2224
- **Practice address phone:** (949) 769-4481
- **Practice address fax:** (914) 341-3979
- **Mailing address:** 455 RIDGE RD, HARTSDALE, NY 10530-2224
- **Mailing address phone:** (949) 769-4481
- **Mailing address fax:** (914) 341-3979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2026
- **Last updated:** 08/03/2026