Organization
TRANQUIL WATERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAJUAN THOMAS LMHP-R (RESIDENT IN COUNSELING)
(434) 509-8588
Entity
Organization
Contact information
Practice address
191 SPROUSE DR, AMHERST, VA 24521-3360
(434) 509-8588
Mailing address
191 SPROUSE DR, AMHERST, VA 24521-3360
(434) 509-8588
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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