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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | CHA | 1179045 | 01 |
KY | 78028297 | 05 |
Street Address |
704 E MAIN ST |
City | STANFORD |
State | KY |
Zip Code | 40484-1405 |
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 |
Find all providers in zip 40484 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235730532 | Reflection In Practice Counseling and Consultation | Clinic/Center | 1355 Bardstown Rd, Louisville, KY 40204-1353 | 2020-11-03 |
1568069326 | Evolve Lou Counseling | Clinic/Center | 1309 Cecil Ave, Louisville, KY 40211-2418 | 2020-10-05 |
1265048748 | Therapy Pros, Inc. | Clinic/Center | 928 Idlewild Ct, Lexington, KY 40505-3634 | 2020-09-19 |
1538791165 | Bhg Lviii, LLC | Clinic/Center | 1000 Ace Drive, Berea, KY 40403-1327 | 2020-02-11 |
1538791140 | Bhg Lviii, LLC | Clinic/Center | 2705 Olivet Church Road, Paducah, KY 42001-9755 | 2020-02-11 |
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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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.