Provider Demographics
NPI:1225892508
Name:INSTRUMENT OF PEACE THERAPY, PLLC
Entity Type:Organization
Organization Name:INSTRUMENT OF PEACE THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GLISSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-361-0334
Mailing Address - Street 1:205 CENTER RD
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:NH
Mailing Address - Zip Code:03275-3210
Mailing Address - Country:US
Mailing Address - Phone:603-361-0334
Mailing Address - Fax:
Practice Address - Street 1:83 CLINTON ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2262
Practice Address - Country:US
Practice Address - Phone:603-634-9404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty