Healthcare Provider Details

I. General information

NPI: 1174438378
Provider Name (Legal Business Name): TRANQUIL MINDZ, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5011 ARBUTUS AVE # 202
BALTIMORE MD
21215-5723
US

IV. Provider business mailing address

5011 ARBUTUS AVE # 1018
BALTIMORE MD
21215-5723
US

V. Phone/Fax

Practice location:
  • Phone: 410-709-6068
  • Fax:
Mailing address:
  • Phone: 410-709-6068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MS. EILEEN DELGADO
Title or Position: EXECUTIVE DIRECTOR
Credential: LMSW
Phone: 410-709-6068