TRANQUIL HARBOR FAMILY THERAPY, JESSICA BOOTH, PLLC (NPI# 1518485457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518485457 |
| Entity Type | Organization |
| Organization Name | TRANQUIL HARBOR FAMILY THERAPY, JESSICA BOOTH, PLLC |
| Practice Address |
319 Court Sq Sanford NC 27330-5658 |
| Mailing Address |
1062 Hickory House Rd Sanford NC 27332-9193 |
| Practice Telephone | 9194984556 |
| Practice Fax Number | 9197089089 |
| Mailing Telephone | 9194984556 |
| Mailing Fax Number | 9197089089 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-08-30 |
| Authorized Official Name | MRS. JESSICA GLASSON BOOTH (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Telephone | 9194984556 |
| Authorized Official Credential | MS, LMFT, LCAS-A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 1843 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | PERSONAL NPI NUMBER | 1942682786 | 01 |
| Street Address |
319 COURT SQ |
| City | SANFORD |
| State | NC |
| Zip Code | 27330-5658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295108041 | Elizabeth Mcgee Martin Phd Pllc | Psychologist | 319 Court Sq, Sanford, NC 27330-5658 | 2015-11-02 |
| 1417413972 | Michelle F. Moseley, Lpc, Pllc | Clinic/Center | 319 Court Sq, Sanford, NC 27330-5658 | 2019-02-20 |
| 1043741606 | Swanzetta J. Stevenson,lcsw,pllc | Community/Behavioral Health | 319 Court Sq, Sanford, NC 27330-5658 | 2017-03-24 |
| 1548707706 | Michelle F Moseley | Counselor | 319 Court Sq, Sanford, NC 27330-5658 | 2017-01-26 |
| 1356701445 | Laurie Conaty, Lcsw, Pa | Social Worker | 319 Court Sq, Sanford, NC 27330-5658 | 2016-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836232 | Felicia Alston | Chore Provider | 160a Chatham St, Sanford, NC 27330 | 2020-06-23 |
| 1730727470 | Kathy M Taylor | Homemaker | 1665 Lower Moncure Rd, Sanford, NC 27330 | 2019-12-12 |
| 1982185377 | Fhpg, LLC | Internal Medicine | 2925 Beechtree Dr, Suite 142, Sanford, NC 27330 | 2018-08-24 |
| 1154849719 | Schuyler Karl Behnke | Family Medicine | 125 Chatham Street, Sanford, NC 27330 | 2017-09-05 |
| 1205375953 | Dlp Central Carolina Medical Group LLC | Surgery | 117 Dennis Dr, Sanford, NC 27330 | 2017-02-14 |
| 1760921613 | Open Water Medical, Pa | Family Medicine | 109 South Vance St, Sanford, NC 27330 | 2017-02-13 |
| 1972050458 | Brent Layne | Physician Assistant | 724 South Horner Blvd, Sanford, NC 27330 | 2016-09-01 |
| 1174977185 | Jennifer Lynn Beard | Physician Assistant | 2412 Wilkins Drive, Sanford, NC 27330 | 2016-04-15 |
| 1003277252 | North Carolina Wellness | Community/Behavioral Health | 321a Court Square, Sanford, NC 27330 | 2016-03-16 |
| 1518343573 | The Family Doc Back To Basics Medical Practice, Pllc | General Practice | 1503 Elm Street, Suite C, Sanford, NC 27330 | 2015-07-31 |
| Find all providers in zip 27330 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982078069 | Julie Taylor | Marriage & Family Therapist | 2921 Pine Oak Trl, Sanford, FL 32773-7273 | 2015-11-30 |
| 1902234628 | Kimberly Ann Gutjahr | Marriage & Family Therapist | 529 Carolina Way, Sanford, NC 27332-0149 | 2013-10-15 |
| 1639519416 | Meridith M Geyer | Marriage & Family Therapist | 1414 Lexington Green Lane, Sanford, FL 32771 | 2013-06-26 |
| 1457683021 | Jessica Dawn Bush | Marriage & Family Therapist | 1414 Lexington Green Ln, Sanford, FL 32771-1015 | 2010-02-08 |
| 1760637557 | Jonathan Berube | Marriage & Family Therapist | 886 Main St Ste 305, Sanford, ME 04073-7009 | 2008-11-21 |
| 1326217548 | Shirley Ann Fuller | Marriage & Family Therapist | 911 S Park Ave, Sanford, FL 32771-2540 | 2008-02-21 |
| 1134519382 | Nichole Merritt Mcfarland, Ma, Lmft, PC | Marriage & Family Therapist | 1503 Elm St, Suite A, Sanford, NC 27330-5666 | 2015-01-27 |
| 1134563901 | Jennifer Leigh Gasparri | Marriage & Family Therapist | 1414 Lexington Green Ln, Sanford, FL 32771-1015 | 2013-04-24 |
| 1548547698 | Pamela Parker | Marriage & Family Therapist | 311 W Rose St, Sanford, NC 27330-5340 | 2011-11-03 |
| 1104065937 | Rhi Anna Lynn Stephens | Marriage & Family Therapist | 130 Carbonton Rd, Sanford, NC 27330-4009 | 2009-02-18 |
| Find all providers in SANFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.