Provider Demographics
NPI:1649066192
Name:TRANQUILLE, SASHA
Entity type:Individual
Prefix:DR
First Name:SASHA
Middle Name:
Last Name:TRANQUILLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 207
Mailing Address - Street 2:
Mailing Address - City:SOUTH ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07079
Mailing Address - Country:US
Mailing Address - Phone:201-744-7561
Mailing Address - Fax:973-399-5254
Practice Address - Street 1:PO BOX 207
Practice Address - Street 2:
Practice Address - City:SOUTH ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07079
Practice Address - Country:US
Practice Address - Phone:201-744-7561
Practice Address - Fax:973-399-5254
Is Sole Proprietor?:No
Enumeration Date:2025-04-18
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health