Provider Demographics
NPI:1912392549
Name:A TIME FOR PEACE PLLC
Entity Type:Organization
Organization Name:A TIME FOR PEACE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LPC
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:D
Authorized Official - Last Name:TIMMS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:870-237-1329
Mailing Address - Street 1:208 COBEAN BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:AR
Mailing Address - Zip Code:72437-9704
Mailing Address - Country:US
Mailing Address - Phone:870-237-1329
Mailing Address - Fax:877-415-1647
Practice Address - Street 1:208 COBEAN BLVD
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:AR
Practice Address - Zip Code:72437-9704
Practice Address - Country:US
Practice Address - Phone:870-237-1329
Practice Address - Fax:877-415-1647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-31
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1303018101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty