Provider Demographics
NPI:1922342773
Name:PEACE OF MIND SERVICES, LLC
Entity Type:Organization
Organization Name:PEACE OF MIND SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:SANTEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-947-9205
Mailing Address - Street 1:380 CLINE AVE LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44907-1056
Mailing Address - Country:US
Mailing Address - Phone:567-241-6133
Mailing Address - Fax:
Practice Address - Street 1:380 CLINE AVE
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44907-1057
Practice Address - Country:US
Practice Address - Phone:567-241-6133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-18
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty