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General NPI Number Information
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NPI Number | 1215771472
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Entity Type | Organization
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Legal Business Name | TRANQUIL MINDS THERAPY TMT
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Dates
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Enumeration Date | 06/22/2024
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 24445 NORTHWESTERN HWY STE 224
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City | SOUTHFIELD
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State | MI
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Zip | 48075-6501
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Country | US
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Telephone | 313-710-4927
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Fax | 313-710-5033
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Provider Business Mailing Address
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Address Line | PO BOX 87001
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City | CANTON
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State | MI
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Zip | 48187-0001
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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 | PARTNER
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Name | SUNROOP SINGH GILL
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Credential |
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Telephone | 734-353-1884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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