Healthcare Provider Details

I. General information

NPI: 1851078018
Provider Name (Legal Business Name): TRANQUIL MINDS BEHAVIORAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2023
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 BASSETT AVE STE 103
EL PASO TX
79901-1801
US

IV. Provider business mailing address

7274 MULE TEAM
EL PASO TX
79911-2237
US

V. Phone/Fax

Practice location:
  • Phone: 915-671-2166
  • Fax: 915-666-9781
Mailing address:
  • Phone: 915-671-2167
  • Fax: 915-666-9781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARY LOU MORALES
Title or Position: OWNER/ CEO
Credential:
Phone: 915-227-5636