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General NPI Number Information
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NPI Number | 1093648131
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Entity Type | Organization
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Legal Business Name | TRANQUILITY CRISIS RESIDENTIAL, LLC
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 1350 38TH ST
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City | NORFOLK
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State | VA
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Zip | 23508-2334
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Country | US
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Telephone | 757-904-6040
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Fax |
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Provider Business Mailing Address
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Address Line | 1350 38TH ST
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City | NORFOLK
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State | VA
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Zip | 23508-2334
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DESHAY N EDWARDS
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Credential | MSW, LMHP-S
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Telephone | 757-658-9850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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