Provider Demographics
NPI:1629835764
Name:THE HEALING PEACE COUNSELING LLC
Entity Type:Organization
Organization Name:THE HEALING PEACE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN/ CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:TARAPACKI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:602-377-4098
Mailing Address - Street 1:19820 N 67TH DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-5585
Mailing Address - Country:US
Mailing Address - Phone:602-492-4427
Mailing Address - Fax:
Practice Address - Street 1:9242 W UNION HILLS DR STE 102
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-8219
Practice Address - Country:US
Practice Address - Phone:602-492-4427
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty