Provider Demographics
NPI:1407376981
Name:INCREASING TRANQUILITY LLC
Entity Type:Organization
Organization Name:INCREASING TRANQUILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:WAUKEA
Authorized Official - Last Name:HAMER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:918-306-9385
Mailing Address - Street 1:5112 S. HICKORY AVE
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74011
Mailing Address - Country:US
Mailing Address - Phone:918-306-9385
Mailing Address - Fax:918-286-7007
Practice Address - Street 1:519 E. 141ST ST.
Practice Address - Street 2:SUITE L
Practice Address - City:GLENPOOL
Practice Address - State:OK
Practice Address - Zip Code:74033
Practice Address - Country:US
Practice Address - Phone:918-650-6558
Practice Address - Fax:918-286-7007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-26
Last Update Date:2017-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5154261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)