Provider Demographics
NPI:1447641568
Name:TRANQUILITY COUNSELING CENTER
Entity type:Organization
Organization Name:TRANQUILITY COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER, LPC
Authorized Official - Prefix:
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:STRUDELL-DEBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:210-355-7400
Mailing Address - Street 1:1840 LOCKHILL SELMA RD
Mailing Address - Street 2:103
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-1550
Mailing Address - Country:US
Mailing Address - Phone:210-355-7400
Mailing Address - Fax:210-568-2175
Practice Address - Street 1:1840 LOCKHILL SELMA RD
Practice Address - Street 2:103
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-1550
Practice Address - Country:US
Practice Address - Phone:210-355-7400
Practice Address - Fax:210-568-2175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-11
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69040101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty