Provider Demographics
NPI:1851057533
Name:PEACEFUL PLACE CHRISTIAN COUNSELING
Entity Type:Organization
Organization Name:PEACEFUL PLACE CHRISTIAN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVERA-CELDRAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCMHCS
Authorized Official - Phone:704-228-3377
Mailing Address - Street 1:1811 SARDIS RD N STE 207
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28270-3000
Mailing Address - Country:US
Mailing Address - Phone:704-228-3377
Mailing Address - Fax:
Practice Address - Street 1:1811 SARDIS RD N STE 207
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28270-3000
Practice Address - Country:US
Practice Address - Phone:704-228-3377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-16
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty