Provider Demographics
NPI:1649560574
Name:PEACE IS AT HAND, LLC
Entity Type:Organization
Organization Name:PEACE IS AT HAND, LLC
Other - Org Name:LIMITED LIABILITY COMPANY
Other - Org Type:Other Name
Authorized Official - Title/Position:LICENSED MASSAGE THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERRIE
Authorized Official - Middle Name:CHARMANIE
Authorized Official - Last Name:THORNHILL
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:678-755-3601
Mailing Address - Street 1:3053 ELMWOOD CT
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30349-8102
Mailing Address - Country:US
Mailing Address - Phone:678-755-3601
Mailing Address - Fax:
Practice Address - Street 1:3053 ELMWOOD CT
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30349-8102
Practice Address - Country:US
Practice Address - Phone:678-755-3601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-12
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMT001943302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization