Healthcare Provider Details

I. General information

NPI: 1215850409
Provider Name (Legal Business Name): TRANQUILITY MENTAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

532 I ST NE
MIAMI OK
74354-4931
US

IV. Provider business mailing address

532 I ST NE
MIAMI OK
74354-4931
US

V. Phone/Fax

Practice location:
  • Phone: 918-541-6210
  • Fax: 404-666-8199
Mailing address:
  • Phone: 918-541-6210
  • Fax: 404-666-8199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: CAROL GEORGE
Title or Position: OWNER
Credential: LPC
Phone: 918-541-6210