A Tranquil Journey PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

5317 Issued in OK

Legal business name

A TRANQUIL JOURNEY PLLC

Practice address

109 W South Park St
Broken Arrow, OK 74011-2630

Phone

(918) 951-1042

NPI assigned

Jan 19, 2016

Last updated

Jan 19, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anna Smith, LPC

Title

President

Phone

(918) 951-1042

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1174980312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W SOUTH PARK ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740112630",
            "telephone_number": "918-951-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W SOUTH PARK ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740112630",
            "telephone_number": "918-951-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A TRANQUIL JOURNEY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-951-1042",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "5317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.