MEDICARE: TRANQUIL TIDES PSYCHIATRY AND WELLNESS, PLLC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1740002898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANQUIL TIDES PSYCHIATRY AND WELLNESS, PLLC

Provider Business Mailing Address
First Line	:	28951 STATE ROAD 54
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33543-3218
Country	:	US
Telephone Number	:	813-807-5269
Fax Number	:	813-807-5220

Provider Business Practice Location Address
First Line	:	28951 STATE ROAD 54
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33543-3218
Country	:	US
Telephone Number	:	813-807-5269
Fax Number	:	813-807-5220

Authorized Official
Title or Position	:	OWNER, PROVIDER
Name	:	CAREY LEDEE KRAUSE
Credential	:	PMHNP-BC
Telephone Number	:	813-807-5269

Provider Enumeration Date	:	10/29/2024
Last Update Date	:	12/10/2025

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