Provider Demographics
NPI:1710332192
Name:PEACE PSYCHIATRY
Entity Type:Organization
Organization Name:PEACE PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE & BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-798-5727
Mailing Address - Street 1:1520 SUNDAY DR STE 320
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-5254
Mailing Address - Country:US
Mailing Address - Phone:919-798-5727
Mailing Address - Fax:919-827-1269
Practice Address - Street 1:1520 SUNDAY DR STE 320
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607
Practice Address - Country:US
Practice Address - Phone:919-798-5727
Practice Address - Fax:919-827-1269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-04
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty