Provider Demographics
NPI:1366926826
Name:TRANQUIL WATERS COUNSELING LLC
Entity type:Organization
Organization Name:TRANQUIL WATERS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR ASSOCIATE
Authorized Official - Prefix:
Authorized Official - First Name:CURRAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:OTIS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHCA
Authorized Official - Phone:360-674-0787
Mailing Address - Street 1:3204 SMOKEY POINT DR STE 205
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-8476
Mailing Address - Country:US
Mailing Address - Phone:360-674-0787
Mailing Address - Fax:360-925-3191
Practice Address - Street 1:3204 SMOKEY POINT DR STE 205
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-8476
Practice Address - Country:US
Practice Address - Phone:360-674-0787
Practice Address - Fax:360-925-3191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-20
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty