Provider Demographics
NPI:1255001996
Name:PEACE OF MIND CENTER FOR WELLNESS
Entity Type:Organization
Organization Name:PEACE OF MIND CENTER FOR WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:RAINWATER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:866-766-4935
Mailing Address - Street 1:171 PAINTBRUSH LN
Mailing Address - Street 2:
Mailing Address - City:BURNET
Mailing Address - State:TX
Mailing Address - Zip Code:78611-2066
Mailing Address - Country:US
Mailing Address - Phone:866-766-4935
Mailing Address - Fax:
Practice Address - Street 1:171 PAINTBRUSH LN
Practice Address - Street 2:
Practice Address - City:BURNET
Practice Address - State:TX
Practice Address - Zip Code:78611-2066
Practice Address - Country:US
Practice Address - Phone:866-766-4935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty