Organization
A TRANQUIL JOURNEY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA SMITH LPC (PRESIDENT)
(918) 951-1042
Entity
Organization
Contact information
Practice address
109 W SOUTH PARK ST, BROKEN ARROW, OK 74011-2630
(918) 951-1042
Mailing address
109 W SOUTH PARK ST, BROKEN ARROW, OK 74011-2630
(918) 951-1042
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5317
OK
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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