Organization
TRANQUIL SHORES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD JOHNSON (CEO)
(727) 391-7001
Entity
Organization
Contact information
Practice address
4300 DUHME RD FL 2, MADEIRA BEACH, FL 33708-2876
(727) 391-7001
(727) 391-3125
Mailing address
4300 DUHME RD FL 2, MADEIRA BEACH, FL 33708-2876
(727) 391-7001
(727) 391-3125
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
06-52-AD-495901
FL
101YM0800X
Mental Health Counselor
06-52-AD-495901
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
06-52-AD-495901
FL
261QM0850X
Adult Mental Health Clinic/Center
06-52-AD-495901
FL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
06-52-AD-495901
FL
Other
Enumeration date
09/07/2010
Last updated
03/17/2016
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