OrganizationActive
A Tranquil Journey PLLC
NPI 1174980312 · Community/Behavioral Health Agency · Broken Arrow, OK
Provider details
- NPI number
- 1174980312
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Anna Smith, President(918) 951-1042
- License
- 5317 (OK)
Specialties & taxonomies
Agencies
Practice location
109 W South Park St
Broken Arrow, OK 74011-2630
Phone: (918) 951-1042
Approximate (ZIP-level) locationGet directions
Mailing address
109 W South Park St
Broken Arrow, OK 74011-2630
Registry dates
- Enumerated
- 2016-01-19
- Last updated
- 2016-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.