Provider Demographics
NPI:1902407638
Name:PEACE OF MIND MENTAL HEALTH AND WELLNESS, LLC
Entity Type:Organization
Organization Name:PEACE OF MIND MENTAL HEALTH AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:210-710-4472
Mailing Address - Street 1:8940 FOURWINDS DR STE 143
Mailing Address - Street 2:
Mailing Address - City:WINDCREST
Mailing Address - State:TX
Mailing Address - Zip Code:78239-1958
Mailing Address - Country:US
Mailing Address - Phone:210-446-7141
Mailing Address - Fax:
Practice Address - Street 1:8940 FOURWINDS DR STE 143
Practice Address - Street 2:
Practice Address - City:WINDCREST
Practice Address - State:TX
Practice Address - Zip Code:78239-1958
Practice Address - Country:US
Practice Address - Phone:210-446-7141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-09
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty