Provider Demographics
NPI:1689046211
Name:PEACE OF MIND, LLC
Entity Type:Organization
Organization Name:PEACE OF MIND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATINA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:EVERDING
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:765-472-2722
Mailing Address - Street 1:2484 S BUSINESS 31
Mailing Address - Street 2:SUITE C
Mailing Address - City:PERU
Mailing Address - State:IN
Mailing Address - Zip Code:46970-7312
Mailing Address - Country:US
Mailing Address - Phone:765-472-2722
Mailing Address - Fax:
Practice Address - Street 1:2484 S BUSINESS 31
Practice Address - Street 2:SUITE C
Practice Address - City:PERU
Practice Address - State:IN
Practice Address - Zip Code:46970-7312
Practice Address - Country:US
Practice Address - Phone:765-472-2722
Practice Address - Fax:765-472-2722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-22
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty