Tranquil Path Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TRANQUIL PATH THERAPY LLC

Practice address

1034 S Brentwood Blvd Ste 555
Saint Louis, MO 63117-1265

Phone

(314) 502-9243

NPI assigned

Jan 19, 2021

Organization subpart

No

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

Authorized official

Name

Mandy Bowlin, LCSW

Title

Owner/Therapist

Phone

(314) 502-9243

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611964800000",
    "number": "1669062154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 PIEDRAS PKWY",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263757",
            "telephone_number": "314-502-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD STE 555",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171265",
            "telephone_number": "314-502-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUIL PATH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-30",
        "status": "A",
        "authorized_official_last_name": "BOWLIN",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "314-502-9243",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Show Tran, M.D.
• Jessica Tran, AGNP
• Victoria Quynh-Loan Tran, ACNP
• Emily Grace Tranchina, MD
• Dena B Tranen, LICSW
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• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2021; 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.