Provider Demographics
NPI:1619334349
Name:PEACE OF MIND COUNSELING CENTERS PLLC
Entity Type:Organization
Organization Name:PEACE OF MIND COUNSELING CENTERS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GINGER
Authorized Official - Middle Name:D
Authorized Official - Last Name:BLACKSMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:501-581-7703
Mailing Address - Street 1:19 BUSINESS PARK DR STE 5
Mailing Address - Street 2:
Mailing Address - City:GREENBRIER
Mailing Address - State:AR
Mailing Address - Zip Code:72058-9286
Mailing Address - Country:US
Mailing Address - Phone:501-581-7703
Mailing Address - Fax:501-204-6004
Practice Address - Street 1:19 BUSINESS PARK DR STE 5
Practice Address - Street 2:
Practice Address - City:GREENBRIER
Practice Address - State:AR
Practice Address - Zip Code:72058-9286
Practice Address - Country:US
Practice Address - Phone:501-581-7703
Practice Address - Fax:501-204-6004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-26
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health