Organization
TRANQUILITY MENTAL AND BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL JEFFERSON (OWNER)
(601) 660-0572
Entity
Organization
Contact information
Practice address
14192 CARLISLE LN, GULFPORT, MS 39503-4542
(601) 660-0572
Mailing address
14192 CARLISLE LN, GULFPORT, MS 39503-4542
(601) 660-0572
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1354625
SECRETARY OF STATE
MS
Enumeration date
08/23/2022
Last updated
08/23/2022
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