Healthcare Provider Details
I. General information
NPI: 1073497442
Provider Name (Legal Business Name): TRANQUILITY COMPREHENSIVE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/31/2025
Last Update Date: 07/31/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1443 ROCK SPRING RD STE 2022
BEL AIR MD
21014-1920
US
IV. Provider business mailing address
1443 ROCK SPRING RD STE 2022
BEL AIR MD
21014-1920
US
V. Phone/Fax
- Phone: 301-237-5395
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
OLUWOLE
OKE
Title or Position: CEO
Credential: CRNP
Phone: 301-237-5395