# TRANQUILITY RECOVERY NV LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TRANQUILITY RECOVERY NV LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558198242
- **Legal business name:** TRANQUILITY RECOVERY NV LLC
- **Authorized official:** MATTHEW KHUDAVERDYAN (OWNER)
- **Authorized official phone:** (702) 900-8341

## Contact information

- **Practice address:** 6325 HARRISON DR STE 2, LAS VEGAS, NV 89120-4402
- **Practice address phone:** (702) 900-8341
- **Mailing address:** 5840 W CRAIG RD \# 120-253, LAS VEGAS, NV 89130-2561
- **Mailing address phone:** (702) 900-8341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 103TP0016X | Prescribing (Medical) Psychologist | — | NULL | — |
| 103TP0016X | Prescribing (Medical) Psychologist | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/17/2024
- **Last updated:** 09/17/2024