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General NPI Number Information
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NPI Number | 1336090554
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Entity Type | Organization
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Legal Business Name | TRANQUILITY MENTAL HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 150 RIVERSIDE PKWY STE 115
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City | FREDERICKSBURG
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State | VA
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Zip | 22406-1094
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Country | US
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Telephone | 434-210-2016
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Fax |
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Provider Business Mailing Address
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Address Line | 409 SPANISH GROVE RD
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City | CHASE CITY
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State | VA
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Zip | 23924-3906
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Country | US
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Telephone | 434-210-2016
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Fax | 804-376-8224
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Authorized Official
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Title or Position | OWNER
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Name | SHERDALE SCOTT
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Credential | LPC
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Telephone | 434-210-2016
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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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