Healthcare Provider Details

I. General information

NPI: 1427377357
Provider Name (Legal Business Name): TRANQUILITY COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2010
Last Update Date: 05/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6515 CLINTON HWY SUITE 204
KNOXVILLE TN
37912-1116
US

IV. Provider business mailing address

6515 CLINTON HWY SUITE 204
KNOXVILLE TN
37912-1116
US

V. Phone/Fax

Practice location:
  • Phone: 865-455-8048
  • Fax: 865-622-5456
Mailing address:
  • Phone: 865-455-8048
  • Fax: 865-622-5456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number2358
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number2358
License Number StateTN

VIII. Authorized Official

Name: DARLEENA RAE ANDERSON
Title or Position: OWNER/CEO
Credential: LPC MHSP NCC
Phone: 865-455-8048