Provider Demographics
NPI:1093390965
Name:PEACE OF MIND PSYCHIATRY LLC
Entity Type:Organization
Organization Name:PEACE OF MIND PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT; PART-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIRSTYN
Authorized Official - Middle Name:M
Authorized Official - Last Name:KAMEG
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:412-319-7866
Mailing Address - Street 1:200 OLD POND RD STE 107
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-1269
Mailing Address - Country:US
Mailing Address - Phone:412-319-7866
Mailing Address - Fax:412-914-8635
Practice Address - Street 1:200 OLD POND RD STE 107
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-1269
Practice Address - Country:US
Practice Address - Phone:412-319-7866
Practice Address - Fax:412-914-8635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-12
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty