TRANQUILITY PLACE OF UTAH LLC (NPI# 1942502638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942502638 |
| Entity Type | Organization |
| Organization Name | TRANQUILITY PLACE OF UTAH LLC |
| Other Organization Name | TRANQUILITY PLACE |
| Practice Address |
160 E 800 S Ste B Salt Lake City UT 84111-3827 |
| Practice Telephone | 8019249240 |
| Practice Fax Number | 8019249241 |
| Mailing Telephone | 8019249240 |
| Mailing Fax Number | 8019249241 |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2020-01-02 |
| Authorized Official Name | MR. TONY TALIA'ULI (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 8019249240 |
| Authorized Official Credential | BA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
17016 | UT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Tranquility Place | Doing Business As Name - Organization |
| Street Address |
160 E 800 S STE B |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84111-3827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023570942 | Jocelyn Caires | Counselor | 160 E 800 S Ste B, Salt Lake City, UT 84111-3827 | 2019-04-01 |
| 1043771264 | Sarah Beth Davis | Counselor | 160 E 800 S Ste B, Salt Lake City, UT 84111-3827 | 2019-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
| 1790396554 | Stephanie G Mishenko | Military Health Care Provider | 344e 100s, Slc, UT 84111 | 2020-08-13 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1316421761 | Community Health Centers, Inc. | Social Worker | 610 S 200 E Ste #b, Salt Lake City, UT 84111 | 2018-09-21 |
| 1528545506 | Lauren Brittney Harman | Case Manager/Care Coordinator | 344 E. 100 S., Salt Lake City, UT 84111 | 2018-07-23 |
| 1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
| 1801390661 | Jaylee Marie Watman | Case Manager/Care Coordinator | 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 | 2018-03-19 |
| 1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
| 1750805404 | Kayla Hymas | Behavioral Analyst | 243 E. 400 S., Slc, UT 84111 | 2017-08-02 |
| 1134643224 | Julie Peaslee | Counselor | 275 E South Temple Ste 110, Salt Lake City, UT 84111 | 2017-07-31 |
| Find all providers in zip 84111 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124666870 | One Voice Recovery | Clinic/Center | 1400 S 1100 E, Salt Lake City, UT 84105-2435 | 2019-12-12 |
| 1316392897 | Nuway Recovery, LLC | Clinic/Center | 4925 S 900 E, Salt Lake City, UT 84117-5784 | 2016-05-03 |
| 1578803748 | Recovery Ways, LLC | Clinic/Center | 1174 East 2760 South, Suite #10, Salt Lake City, UT 84106 | 2013-02-25 |
| 1003997701 | Assessment, Counseling & Educational Services | Clinic/Center | 3808 S West Temple, Sutie 150, Salt Lake City, UT 84115-4446 | 2006-10-18 |
| 1033143706 | Odyssey House Inc. | Clinic/Center | 340 E 100 S, Salt Lake City, UT 84111-1702 | 2006-07-10 |
| 1477189900 | Red Willow Iop, Pllc | Clinic/Center | 1425 S 700 E Ste 102, Salt Lake City, UT 84105-2125 | 2020-03-16 |
| 1265871644 | Odyssey House | Clinic/Center | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2013-06-19 |
| 1639492036 | Michelle Moyes | Clinic/Center | 2001 S State St, S2300, Salt Lake City, UT 84190-0001 | 2010-03-12 |
| 1932422474 | Debbie L Scovill | Clinic/Center | 2001 S State St Ste S2300, Salt Lake City, UT 84190-2250 | 2010-03-11 |
| 1396839544 | Carleen S. Jimenez | Clinic/Center | 2001 S State St, Suite 2300, Salt Lake City, UT 84190-2250 | 2006-10-03 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84111 |
Please comment or provide details below to improve the information on TRANQUILITY PLACE OF UTAH LLC.
| 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.