Provider Demographics
NPI:1992376883
Name:PEACE OF MIND PSYCHIATRIC CARE
Entity Type:Organization
Organization Name:PEACE OF MIND PSYCHIATRIC CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN,PMHNP-BC
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WARREN DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, PMHNP-BC
Authorized Official - Phone:737-233-9177
Mailing Address - Street 1:202 THE OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:TX
Mailing Address - Zip Code:78621-5804
Mailing Address - Country:US
Mailing Address - Phone:737-233-9177
Mailing Address - Fax:737-232-2440
Practice Address - Street 1:202 THE OAKS BLVD
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:TX
Practice Address - Zip Code:78621-5804
Practice Address - Country:US
Practice Address - Phone:737-233-9177
Practice Address - Fax:737-232-2440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty