| Tranquility Counseling Services, Llc | |
|
500 N Meridian Ave Ste 406 Oklahoma City OK 73107-5755 | |
| (405) 818-5049 | |
| (833) 597-8370 |
| Full Name | Tranquility Counseling Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 500 N Meridian Ave Ste 406, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Angela Matos (OWNER/PROVIDER) |
| Authorized Official Contact | 4058185049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tranquility Counseling Services, Llc 20200 N Harrah Rd Luther OK 73054-9707 Ph: (405) 818-5049 | Tranquility Counseling Services, Llc 500 N Meridian Ave Ste 406 Oklahoma City OK 73107-5755 Ph: (405) 818-5049 |
| NPI Number | 1922646645 |
|---|---|
| Provider Enumeration Date | 12/12/2019 |
| Last Update Date | 01/02/2020 |
| Certification Date | 01/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922646645 | NPI | - | NPPES |
| 200695330A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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