Provider Demographics
NPI:1003561838
Name:PEACE OF MIND PSYCHIATRIC SOLUTIONS
Entity Type:Organization
Organization Name:PEACE OF MIND PSYCHIATRIC SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:USHA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRISHNAMOORTHY
Authorized Official - Suffix:
Authorized Official - Credentials:RHIA, CCS-P
Authorized Official - Phone:337-534-0219
Mailing Address - Street 1:PO BOX 114
Mailing Address - Street 2:
Mailing Address - City:LIBUSE
Mailing Address - State:LA
Mailing Address - Zip Code:71348-0114
Mailing Address - Country:US
Mailing Address - Phone:318-584-3840
Mailing Address - Fax:
Practice Address - Street 1:44 VERSAILLES BLVD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-3960
Practice Address - Country:US
Practice Address - Phone:318-441-0068
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-21
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty