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Organization
TRANQUIL PATHWAY MENTAL WELLNESS, LLC
Active
Organization
TRANQUIL PATHWAY MENTAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY N CLARK PMHNP-BC (CEO/OWNER)
(205) 873-4825
Entity
Organization
Contact information
Practice address
500 SOUTHLAND DR STE 221, VESTAVIA, AL 35226-3710
(205) 873-4825
Mailing address
123 CAHABA CLUB DR, HELENA, AL 35080-7016
(205) 873-4825
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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