| A Tranquil Journey Pllc | |
|
109 W South Park St Broken Arrow OK 74011-2630 | |
| (918) 951-1042 | |
| Not Available |
| Full Name | A Tranquil Journey Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 109 W South Park St, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Anna Smith (PRESIDENT) |
| Authorized Official Contact | 9189511042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Tranquil Journey Pllc 109 W South Park St Broken Arrow OK 74011-2630 Ph: (918) 951-1042 | A Tranquil Journey Pllc 109 W South Park St Broken Arrow OK 74011-2630 Ph: (918) 951-1042 |
| NPI Number | 1174980312 |
|---|---|
| Provider Enumeration Date | 01/19/2016 |
| Last Update Date | 01/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174980312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5317 (Oklahoma) | Primary |
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