Provider Demographics
NPI:1427418243
Name:A PEACE OF MIND II, LLC
Entity Type:Organization
Organization Name:A PEACE OF MIND II, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TARASA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-785-4451
Mailing Address - Street 1:13755 RIVER RD
Mailing Address - Street 2:STE. B
Mailing Address - City:LULING
Mailing Address - State:LA
Mailing Address - Zip Code:70070-4376
Mailing Address - Country:US
Mailing Address - Phone:985-785-4451
Mailing Address - Fax:985-785-4459
Practice Address - Street 1:13755 RIVER RD
Practice Address - Street 2:STE. B
Practice Address - City:LULING
Practice Address - State:LA
Practice Address - Zip Code:70070-4376
Practice Address - Country:US
Practice Address - Phone:985-785-4451
Practice Address - Fax:985-785-4459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-07
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2203781115252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency