Provider Demographics
NPI:1497004519
Name:TRANQUIL HEALING CENTER, PS
Entity Type:Organization
Organization Name:TRANQUIL HEALING CENTER, PS
Other - Org Name:TRANQUIL HEALING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, TREASURER, SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRA
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:SOWINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:ND LM
Authorized Official - Phone:360-552-2525
Mailing Address - Street 1:PO BOX 397
Mailing Address - Street 2:
Mailing Address - City:BELFAIR
Mailing Address - State:WA
Mailing Address - Zip Code:98528-0397
Mailing Address - Country:US
Mailing Address - Phone:360-552-2525
Mailing Address - Fax:360-552-2527
Practice Address - Street 1:23781 STATE HIGHWAY 3
Practice Address - Street 2:STE 105
Practice Address - City:BELFAIR
Practice Address - State:WA
Practice Address - Zip Code:98528
Practice Address - Country:US
Practice Address - Phone:360-552-2525
Practice Address - Fax:360-552-2527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT0001625175F00000X
WAMW60101787176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty