Healthcare Provider Details

I. General information

NPI: 1154241404
Provider Name (Legal Business Name): TRANQUIL UNITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 N MAIN ST STE 1300 OFFICE 2426
WINSTON SALEM NC
27101-3819
US

IV. Provider business mailing address

301 N MAIN STREET SUITE 1300 OFFICE 2426
WINSTON SALEM NC
27101-3836
US

V. Phone/Fax

Practice location:
  • Phone: 336-671-4617
  • Fax:
Mailing address:
  • Phone: 336-671-4617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LASHANAL LAWRENCE
Title or Position: OWNER
Credential:
Phone: 336-671-4617