Healthcare Provider Details

I. General information

NPI: 1184781320
Provider Name (Legal Business Name): TRANQUILITY COUNSELING & WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 MAIN ST SUITE 30-2
TOMS RIVER NJ
08753-7436
US

IV. Provider business mailing address

30 MAIN ST SUITE 30-2
TOMS RIVER NJ
08753-7436
US

V. Phone/Fax

Practice location:
  • Phone: 732-580-4964
  • Fax: 732-901-9124
Mailing address:
  • Phone: 732-580-4964
  • Fax: 732-901-9124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC003096000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05298900
License Number StateNJ

VIII. Authorized Official

Name: MRS. MELISSA SHARPE
Title or Position: THERAPIST
Credential: LCSW
Phone: 732-580-4964