Healthcare Provider Details

I. General information

NPI: 1013847722
Provider Name (Legal Business Name): TRANQUIL MINDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 6TH AVE E STE 4
KALISPELL MT
59901-5005
US

IV. Provider business mailing address

1430 7TH AVE W
KALISPELL MT
59901-5508
US

V. Phone/Fax

Practice location:
  • Phone: 406-207-3155
  • Fax:
Mailing address:
  • Phone: 406-207-3155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: BRIANNA BROOKS
Title or Position: PSYCHOTHERAPIST
Credential:
Phone: 406-207-3155