MEDICARE: TRANQUIL WATERS COUNSELING LLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1366926826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANQUIL WATERS COUNSELING LLC

Provider Business Mailing Address
First Line	:	3204 SMOKEY POINT DR STE 205
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-8476
Country	:	US
Telephone Number	:	360-674-0787
Fax Number	:	360-925-3191

Provider Business Practice Location Address
First Line	:	3204 SMOKEY POINT DR STE 205
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-8476
Country	:	US
Telephone Number	:	360-674-0787
Fax Number	:	360-925-3191

Authorized Official
Title or Position	:	MENTAL HEALTH COUNSELOR
Name	:	CURRAN M OTIS
Credential	:	LMHC
Telephone Number	:	360-674-0787

Provider Enumeration Date	:	09/20/2018
Last Update Date	:	01/07/2026

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