TRANQUIL TIDES MIND CARE LLC. NPI 1538087671

NPI Information

  • NPI: 1538087671
  • Provider Name: TRANQUIL TIDES MIND CARE LLC.
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 445 9TH DR
    VERO BEACH, FL
    ZIP 32962
  • Phone: (209) 626-6505

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NPI Details

TRANQUIL TIDES MIND CARE LLC. is a psychiatric/mental health nurse practitioner in Vero Beach, FL. TRANQUIL TIDES MIND CARE LLC. NPI is 1538087671. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

445 9TH DR
VERO BEACH, FL
ZIP 32962-538
Phone: (209) 626-6505

The provider's authorized official is Melanie Rose Graham .
The authorized official title is Pmhnp-bc and has the following contact phone number (209) 626-6505.

The enumeration date for this NPI number is 7/7/2026 and was last updated on 7/7/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11316714975OTHERFLORIDANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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