Healthcare Provider Details

I. General information

NPI: 1922889062
Provider Name (Legal Business Name): LAW OF TRANQUILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2023
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89 OLD TROLLEY RD STE 207B
SUMMERVILLE SC
29485-4953
US

IV. Provider business mailing address

89 OLD TROLLEY RD STE 207B
SUMMERVILLE SC
29485-4953
US

V. Phone/Fax

Practice location:
  • Phone: 803-968-3841
  • Fax:
Mailing address:
  • Phone: 803-968-3841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. RYAN NICOLE LAW JOHNSON
Title or Position: NP, OWNER
Credential: NP
Phone: 843-509-4257