Healthcare Provider Details

I. General information

NPI: 1326921099
Provider Name (Legal Business Name): TRANQUIL LOTUS MENTAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 S WATER ST STE 230
HENDERSON NV
89015-7308
US

IV. Provider business mailing address

303 S WATER ST STE 230
HENDERSON NV
89015-7308
US

V. Phone/Fax

Practice location:
  • Phone: 725-287-8031
  • Fax:
Mailing address:
  • Phone: 725-287-8031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SARAH DAVIS
Title or Position: OWNER
Credential: LCSW
Phone: 702-370-3662