| Tranquil Path Therapy Llc | |
|
1034 S Brentwood Blvd Ste 555 Saint Louis MO 63117-1265 | |
| (314) 502-9243 | |
| Not Available |
| Full Name | Tranquil Path Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1034 S Brentwood Blvd Ste 555, Saint Louis, Missouri |
| Authorized Official Name and Position | Mandy Bowlin (OWNER/THERAPIST) |
| Authorized Official Contact | 3145029243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tranquil Path Therapy Llc 986 Piedras Pkwy Fenton MO 63026-3757 Ph: (314) 502-9243 | Tranquil Path Therapy Llc 1034 S Brentwood Blvd Ste 555 Saint Louis MO 63117-1265 Ph: (314) 502-9243 |
| NPI Number | 1669062154 |
|---|---|
| Provider Enumeration Date | 01/19/2021 |
| Last Update Date | 01/30/2021 |
| Certification Date | 01/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669062154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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