TRANQUIL MOMENTS, PLLC


Address: 704 E Main St, Stanford, KY 40484-1405
Phone: 6063657007

TRANQUIL MOMENTS, PLLC (NPI# 1922035211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922035211
Entity Type Organization
Organization Name TRANQUIL MOMENTS, PLLC
Practice Address 704 E Main St
Stanford
KY 40484-1405
Mailing Address Po Box 661
Stanford
KY 40484-0661
Practice Telephone 6063657007
Practice Fax Number 6063657001
Mailing Telephone 6063657007
Mailing Fax Number 6063657001
Enumeration Date 2006-06-26
Last Update Date 2020-08-22
Authorized Official Name DR. GAYLE DENHAM (OWNER)
Authorized Official Telephone 6066691507
Authorized Official Credential PHD, PMHNP, BC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
2829P KY Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
KY CHA 1179045 01
KY 78028297 05

Office Location

Street Address 704 E MAIN ST
City STANFORD
State KY
Zip Code 40484-1405

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306208335 Carol Ann Trapp Case Manager/Care Coordinator 333 Frontier Blvd., Stanford, KY 40484 2016-03-29
1285096123 Stanford Eye Center Psc Optometrist 101 Us Hwy 150 Bypass, Suite 117, Stanford, KY 40484 2016-03-21
1679712434 Laura Smith Occupational Therapist 1538 Teytonwell Rd, Stanford, KY 40484 2009-02-18
1104015593 Precision Chiropractic Center, Psc Chiropractor 109 Lily Dr., Stanford, KY 40484 2007-10-22
1114121159 Emhfl, Inc. Optometrist 110 Metker Trail, Stanford, KY 40484 2007-06-13
1841417490 Shelley Lynn Alford I Speech-Language Pathologist 228 Grist Mill Rd., Stanford, KY 40484 2007-04-18
1043332091 Lincoln County Health Department Clinic/Center 342 Education Way, Stanford, KY 40484 2007-04-03
1316963036 Theresa L Kelsey Physical Therapist 123 Frontier Blvd Ste 106, Stanford, KY 40484 2006-07-14
1366485989 New Vista of The Bluegrass Inc Clinic/Center 322 Frontier Boulevard, Stanford, KY 40484 2006-06-13
1811164429 Fort Logan Hospital Clinical Medical Laboratory 110 Metker Trail, Stanford, KY 40484 2008-05-13
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366485989 New Vista of The Bluegrass Inc Clinic/Center 322 Frontier Boulevard, Stanford, KY 40484 2006-06-13
1134679103 The Board of Trustees of The Leland Stanford Junior University Clinic/Center 866 Campus Dr, Stanford, CA 94305-8508 2016-10-13

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1538791165 Bhg Lviii, LLC Clinic/Center 1000 Ace Drive, Berea, KY 40403-1327 2020-02-11
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1356987929 Faraday Kentucky, LLC Clinic/Center 10000 Shelbyville Rd Ste 101, Louisville, KY 40223-2973 2019-11-19
1568004976 Good Shepherd Institute of The Bluegrass Clinic/Center 307 W Dixie Ave, Elizabethtown, KY 42701-1701 2019-10-17
1831746767 Journey Through Counseling LLC Clinic/Center 2614 Utah Dr, Bowling Green, KY 42104-4263 2019-08-26
1578020210 The Family Healing Center, Inc Clinic/Center 241 East Main Street, Morehead, KY 40351 2019-03-01
1033674254 Mind, Body, Soul, LLC Clinic/Center 1325 Us 45 S, Suite C, Mayfield, KY 42066 2019-02-01
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Competitor

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City STANFORD
Zip Code 40484

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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