Provider Demographics
NPI:1700209335
Name:DR PEACEFUL SOLUTIONS INC
Entity Type:Organization
Organization Name:DR PEACEFUL SOLUTIONS INC
Other - Org Name:DENYECE ROBERTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DENYECE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:850-408-0773
Mailing Address - Street 1:2365 CENTERVILLE RD STE L11
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4317
Mailing Address - Country:US
Mailing Address - Phone:850-408-0773
Mailing Address - Fax:
Practice Address - Street 1:2365 CENTERVILLE RD
Practice Address - Street 2:L11
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4317
Practice Address - Country:US
Practice Address - Phone:850-408-0773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DENYECE ROBERTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-02-03
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5804251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management