=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023933934
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TRANQUIL AND NOURISHED PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/11/2026
-----------------------------------------------------
Last Update Date | 08/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 150 CENTRAL AVE N SUITE 8
-----------------------------------------------------
City | KILLDEER
-----------------------------------------------------
State | ND
-----------------------------------------------------
Zip | 58640
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 701-690-6495
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 150 CENTRAL AVE N SUITE 8
-----------------------------------------------------
City | KILLDEER
-----------------------------------------------------
State | ND
-----------------------------------------------------
Zip | 58640
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LINDSEY DANBOM
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 701-690-6495
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 133V00000X
-----------------------------------------------------
Taxonomy Name | Registered Dietitian
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------