Provider Demographics
NPI:1922743590
Name:PRESERVING MY PEACE MENTAL HEALTH SOLUTIONS L.L.C.
Entity Type:Organization
Organization Name:PRESERVING MY PEACE MENTAL HEALTH SOLUTIONS L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:908-451-8857
Mailing Address - Street 1:2933 VAUXHALL ROAD
Mailing Address - Street 2:SUITE 7 #1006
Mailing Address - City:VAUXHALL
Mailing Address - State:NJ
Mailing Address - Zip Code:07088
Mailing Address - Country:US
Mailing Address - Phone:908-248-2857
Mailing Address - Fax:
Practice Address - Street 1:2169 BALMORAL AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-5201
Practice Address - Country:US
Practice Address - Phone:908-451-8857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-28
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty