Healthcare Provider Details

I. General information

NPI: 1497544951
Provider Name (Legal Business Name): TRANQUILLIUM, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2025
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9701 HARBOR AVE
GLENN DALE MD
20769-2105
US

IV. Provider business mailing address

1319 F ST NW STE 301
WASHINGTON DC
20004-1140
US

V. Phone/Fax

Practice location:
  • Phone: 202-810-3439
  • Fax: 240-233-8843
Mailing address:
  • Phone: 202-810-3439
  • Fax: 240-233-8843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. BERNADETTE BOOZER-MADISON
Title or Position: OWNER
Credential: PH.D., MSW, LMFT
Phone: 202-810-3439