Provider Demographics
NPI:1447923891
Name:TRANQUIL AWAKENINGS COUNSELING CENTER PLLC
Entity type:Organization
Organization Name:TRANQUIL AWAKENINGS COUNSELING CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LIMITED LICENSED PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ALLANTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNELL
Authorized Official - Suffix:
Authorized Official - Credentials:LLP
Authorized Official - Phone:734-489-1615
Mailing Address - Street 1:5240 ROSAMOND LN APT 24
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48327-3157
Mailing Address - Country:US
Mailing Address - Phone:734-352-9223
Mailing Address - Fax:
Practice Address - Street 1:41000 WOODWARD AVE STE 350
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48304-5092
Practice Address - Country:US
Practice Address - Phone:734-489-1615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health