Organization
TRANQUILITY THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH VOGT L.M.F.T. (OWNER/CLINICAL THERAPIST)
(320) 259-4000
Entity
Organization
Contact information
Practice address
14 7TH AVE N, SAINT CLOUD, MN 56303-4753
(320) 259-4000
(320) 259-4074
Mailing address
14 7TH AVE N, SAINT CLOUD, MN 56303-4753
(320) 259-4000
(320) 259-4074
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1405
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093408900
—
MN
Enumeration date
11/30/2015
Last updated
11/30/2015
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