MEDICARE: TRANQUILITY COUNSELING

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1699502591
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANQUILITY COUNSELING

Provider Business Mailing Address
First Line	:	8204 ELMBROOK DR STE 305A
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75247-4079
Country	:	US
Telephone Number	:	469-251-2312
Fax Number	:

Provider Business Practice Location Address
First Line	:	8204 ELMBROOK DR STE 305A
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75247-4079
Country	:	US
Telephone Number	:	469-251-2312
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NISHIA N. LIVINGSTON
Credential	:	LPC
Telephone Number	:	469-251-2312

Provider Enumeration Date	:	09/16/2024
Last Update Date	:	09/16/2024

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Directions to “TRANQUILITY COUNSELING ” Practice Location

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