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NPI Code Detail

MEDICARE: TRANQUIL DAYS BEHAVIORAL HEALTH LLC

MEDICARE: TRANQUIL DAYS BEHAVIORAL HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1093536971
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRANQUIL DAYS BEHAVIORAL HEALTH LLC
Provider Business Mailing Address
First Line : 300 DECKER DR STE 360
Second Line :
City : IRVING
State : TX
Zip : 75062-8189
Country : US
Telephone Number : 949-505-5063
Fax Number : 329-202-9979
Provider Business Practice Location Address
First Line : 300 DECKER DR STE 360
Second Line :
City : IRVING
State : TX
Zip : 75062-8189
Country : US
Telephone Number : 949-505-5063
Fax Number : 329-202-9979
Authorized Official
Title or Position : CEO
Name : VASILEIOS PANAGOPOULOS
Credential : MD
Telephone Number : 646-397-0433
Provider Enumeration Date : 10/23/2024
Last Update Date : 01/05/2026

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Directions to “TRANQUIL DAYS BEHAVIORAL HEALTH LLC ” Practice Location

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