Healthcare Provider Details

I. General information

NPI: 1437096492
Provider Name (Legal Business Name): TRANQUESSENCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 COLEBROOKE LN SE
LACEY WA
98513-2239
US

IV. Provider business mailing address

4401 COLEBROOKE LN SE
LACEY WA
98513-2239
US

V. Phone/Fax

Practice location:
  • Phone: 564-263-1122
  • Fax:
Mailing address:
  • Phone: 564-263-1122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: AKIEM DELANO FORBES
Title or Position: ACCOUNTANT
Credential:
Phone: 564-263-1122