Provider Demographics
NPI:1417548678
Name:PEACE OF MIND THERAPY LLC
Entity Type:Organization
Organization Name:PEACE OF MIND THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FALISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:JANKIEWICZ-REDENBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:410-404-7713
Mailing Address - Street 1:2205 SEARLES RD
Mailing Address - Street 2:
Mailing Address - City:DUNDALK
Mailing Address - State:MD
Mailing Address - Zip Code:21222-3216
Mailing Address - Country:US
Mailing Address - Phone:410-404-7713
Mailing Address - Fax:
Practice Address - Street 1:1300 YORK RD STE 240B
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-6090
Practice Address - Country:US
Practice Address - Phone:410-404-7713
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-31
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty