MEDICARE: TRANQUIL TIDES COUNSELING & WELLNESS, 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
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1649138231
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANQUIL TIDES COUNSELING & WELLNESS, LLC

Provider Business Mailing Address
First Line	:	6306B TIMBERLINE ST
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29572-3204
Country	:	US
Telephone Number	:	843-902-6652
Fax Number	:

Provider Business Practice Location Address
First Line	:	6306B TIMBERLINE ST
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29572-3204
Country	:	US
Telephone Number	:	843-902-6652
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS OWNER
Name	:	JAMIE LEE BARKDULL
Credential	:	LPC, NCC
Telephone Number	:	843-902-6652

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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