Provider Demographics
NPI:1659935112
Name:A PEACE OF MIND COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:A PEACE OF MIND COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIA WORKER//OWN
Authorized Official - Prefix:MS
Authorized Official - First Name:LATESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCINTOSH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:804-677-6958
Mailing Address - Street 1:7316 JACKSON ARCH DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-4721
Mailing Address - Country:US
Mailing Address - Phone:804-677-6958
Mailing Address - Fax:
Practice Address - Street 1:713 TWINRIDGE LANE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-5720
Practice Address - Country:US
Practice Address - Phone:804-277-9551
Practice Address - Fax:804-442-7101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-30
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty