Healthcare Provider Details

I. General information

NPI: 1316864911
Provider Name (Legal Business Name): TRANQUILITY PSYCHOLOGICAL SERVICES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 MARKET ST
BASALT CO
81621-7401
US

IV. Provider business mailing address

310 MARKET ST
BASALT CO
81621-7401
US

V. Phone/Fax

Practice location:
  • Phone: 970-718-9219
  • Fax:
Mailing address:
  • Phone: 970-718-9219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MARNIE RICHARD
Title or Position: PRESIDENT
Credential: PSY.D.
Phone: 970-718-9219