Provider Demographics
NPI:1235646639
Name:PEACELOVHARMONY COUNSELING, LLC
Entity Type:Organization
Organization Name:PEACELOVHARMONY COUNSELING, LLC
Other - Org Name:PEACELOVHARMONY COUNSELING, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-259-8775
Mailing Address - Street 1:1401 MONTGOMERY HWY STE 151
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-3690
Mailing Address - Country:US
Mailing Address - Phone:205-259-8775
Mailing Address - Fax:855-209-4895
Practice Address - Street 1:1401 MONTGOMERY HWY STE 151
Practice Address - Street 2:
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-3690
Practice Address - Country:US
Practice Address - Phone:205-259-8775
Practice Address - Fax:855-209-4895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-07
Last Update Date:2018-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty