Provider Demographics
NPI:1346775079
Name:PEACE OF MIND COUNSELING SERVICES
Entity Type:Organization
Organization Name:PEACE OF MIND COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHOBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-873-4335
Mailing Address - Street 1:228 BROADWAY # 2
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-2501
Mailing Address - Country:US
Mailing Address - Phone:717-630-9179
Mailing Address - Fax:717-630-9169
Practice Address - Street 1:228 BROADWAY # 2
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-2501
Practice Address - Country:US
Practice Address - Phone:717-630-9179
Practice Address - Fax:717-630-9169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-01
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA007381101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD018907301Medicaid