Provider Demographics
NPI:1659803773
Name:PEACE OF MIND MENTAL HEALTH SERVICES CORP
Entity Type:Organization
Organization Name:PEACE OF MIND MENTAL HEALTH SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ESTHER
Authorized Official - Last Name:MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:786-252-9131
Mailing Address - Street 1:4715 NW 157TH ST STE 124
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-6408
Mailing Address - Country:US
Mailing Address - Phone:786-703-4154
Mailing Address - Fax:786-332-3240
Practice Address - Street 1:4715 NW 157TH ST STE 124
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-6408
Practice Address - Country:US
Practice Address - Phone:786-703-4154
Practice Address - Fax:786-332-3240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-29
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health