# TRANQUILITY BEHAVIORAL TELEHEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Glacier Mental and Family Health Solutions
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306488572
- **Authorized official:** SHANNON R DAVIS PMHNP-BC, NP-C (OWNER)
- **Authorized official phone:** (907) 696-0096

## Contact information

- **Practice address:** 17051 MERCY DR STE 204, EAGLE RIVER, AK 99577-7630
- **Practice address phone:** (907) 696-0096
- **Practice address fax:** (949) 577-4808
- **Mailing address:** PO BOX 772852, EAGLE RIVER, AK 99577-2852
- **Mailing address phone:** (907) 696-0096
- **Mailing address fax:** (949) 577-4808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/09/2019
- **Last updated:** 02/22/2025