Healthcare Provider Details

I. General information

NPI: 1871458315
Provider Name (Legal Business Name): TRANQUILITY TREE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 S STADIUM WAY STE 100
TACOMA WA
98402-4802
US

IV. Provider business mailing address

16226 81ST AVENUE CT E
PUYALLUP WA
98375-6855
US

V. Phone/Fax

Practice location:
  • Phone: 206-551-8392
  • Fax:
Mailing address:
  • Phone: 206-551-8392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: EMMANUEL MATHERI
Title or Position: OWNER
Credential:
Phone: 206-551-8392