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Organization
TRANQUILITY BEHAVIORAL TELEHEALTH LLC
Active
Organization
TRANQUILITY BEHAVIORAL TELEHEALTH LLC
Active
Other names
Glacier Mental and Family Health Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON R DAVIS PMHNP-BC, NP-C (OWNER)
(907) 696-0096
Entity
Organization
Contact information
Practice address
17051 MERCY DR STE 204, EAGLE RIVER, AK 99577-7630
(907) 696-0096
(949) 577-4808
Mailing address
PO BOX 772852, EAGLE RIVER, AK 99577-2852
(907) 696-0096
(949) 577-4808
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
02/22/2025
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