Healthcare Provider Details

I. General information

NPI: 1366926826
Provider Name (Legal Business Name): TRANQUIL WATERS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2018
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3204 SMOKEY POINT DR STE 205
ARLINGTON WA
98223-8476
US

IV. Provider business mailing address

3204 SMOKEY POINT DR STE 205
ARLINGTON WA
98223-8476
US

V. Phone/Fax

Practice location:
  • Phone: 360-674-0787
  • Fax: 360-925-3191
Mailing address:
  • Phone: 360-674-0787
  • Fax: 360-925-3191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CURRAN M OTIS
Title or Position: MENTAL HEALTH COUNSELOR
Credential: LMHC
Phone: 360-674-0787