TRANQUIL WATERS COUNSELING NPI 1831095165

NPI Information

  • NPI: 1831095165
  • Provider Name: TRANQUIL WATERS COUNSELING
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • :
  • Address: 6072 BRYNWOOD DR STE 205
    ROCKFORD, IL
    ZIP 61114
  • Phone: (779) 548-0964

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NPI Details

TRANQUIL WATERS COUNSELING is a mental health counselor in Rockford, IL. TRANQUIL WATERS COUNSELING NPI is 1831095165. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

6072 BRYNWOOD DR STE 205
ROCKFORD, IL
ZIP 61114-829
Phone: (779) 548-0964

The provider's authorized official is Stacie Michelle Young .
The authorized official title is Owner and has the following contact phone number (847) 917-2031.

The enumeration date for this NPI number is 10/14/2026 and was last updated on 10/14/2026.

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
1101YM0800XCounselorMental HealthYes

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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