Provider Demographics
NPI:1790173888
Name:PEACE OF MIND COUNSELING CENTER, LLC
Entity Type:Organization
Organization Name:PEACE OF MIND COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:E
Authorized Official - Last Name:HERRING-SARSAM
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, ACSW
Authorized Official - Phone:856-812-1436
Mailing Address - Street 1:429 WOODBURY GLASSBORO RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080
Mailing Address - Country:US
Mailing Address - Phone:856-812-1436
Mailing Address - Fax:856-956-3995
Practice Address - Street 1:429 WOODBURY GLASSBORO RD
Practice Address - Street 2:SUITE 200
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-4559
Practice Address - Country:US
Practice Address - Phone:856-812-1436
Practice Address - Fax:856-956-3995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-26
Last Update Date:2014-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC05452000251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health