Provider Demographics
NPI:1003496761
Name:PEACE OF MIND COUNSELING AND CONSULTATION, PLLC
Entity Type:Organization
Organization Name:PEACE OF MIND COUNSELING AND CONSULTATION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GENEVIEVE
Authorized Official - Middle Name:CELESTE
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:601-919-6341
Mailing Address - Street 1:500 HIGHWAY 469 N
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MS
Mailing Address - Zip Code:39073-8958
Mailing Address - Country:US
Mailing Address - Phone:601-919-6341
Mailing Address - Fax:
Practice Address - Street 1:2618 HIGHWAY 49 S STE 3
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MS
Practice Address - Zip Code:39073-8315
Practice Address - Country:US
Practice Address - Phone:601-919-6341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty