Healthcare Provider Details
I. General information
NPI: 1336062504
Provider Name (Legal Business Name): TRANQUIL MINDS PSYCHIATRY AND WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7012 CHARLESTON SHORES BLVD
LAKE WORTH FL
33467-7628
US
IV. Provider business mailing address
7012 CHARLESTON SHORES BLVD
LAKE WORTH FL
33467-7628
US
V. Phone/Fax
- Phone: 561-322-6472
- Fax:
- Phone: 561-316-6665
- Fax: 814-559-3929
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VICTORIA
LEE
HECK
Title or Position: NURSE PRACTITIONER
Credential: PMHNP-BC
Phone: 561-316-6665