Provider Demographics
NPI:1629340179
Name:A PEACE OF MIND COUNSELING PLLC
Entity Type:Organization
Organization Name:A PEACE OF MIND COUNSELING PLLC
Other - Org Name:A PEACE OF MIND COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOTHERAPIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:LAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:910-423-9900
Mailing Address - Street 1:2504 RAEFORD RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28305-5294
Mailing Address - Country:US
Mailing Address - Phone:910-423-9900
Mailing Address - Fax:910-423-0537
Practice Address - Street 1:2504 RAEFORD RD
Practice Address - Street 2:SUITE 108
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28305-5294
Practice Address - Country:US
Practice Address - Phone:910-423-9900
Practice Address - Fax:910-423-0537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-30
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0044831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty