MEDICARE: TRANQUIL MINDS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1013847722
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANQUIL MINDS PLLC

Provider Business Mailing Address
First Line	:	1430 7TH AVE W
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-5508
Country	:	US
Telephone Number	:	406-207-3155
Fax Number	:

Provider Business Practice Location Address
First Line	:	725 6TH AVE E STE 4
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-5005
Country	:	US
Telephone Number	:	406-207-3155
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOTHERAPIST
Name	:	BRIANNA BROOKS
Credential	:
Telephone Number	:	406-207-3155

Provider Enumeration Date	:	05/22/2026
Last Update Date	:	05/22/2026

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Directions to “TRANQUIL MINDS PLLC ” Practice Location

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