Healthcare Provider Details

I. General information

NPI: 1538087671
Provider Name (Legal Business Name): TRANQUIL TIDES MIND CARE LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

445 9TH DR
VERO BEACH FL
32962-1538
US

IV. Provider business mailing address

1551 US HIGHWAY 1
VERO BEACH FL
32960-9992
US

V. Phone/Fax

Practice location:
  • Phone: 209-626-6505
  • Fax:
Mailing address:
  • Phone: 209-626-6505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MELANIE ROSE GRAHAM
Title or Position: PMHNP-BC
Credential: APRN
Phone: 209-626-6505