Provider Demographics
NPI:1205670221
Name:PEACEFUL DOVE COUNSELING, LLC
Entity type:Organization
Organization Name:PEACEFUL DOVE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:JANELLE
Authorized Official - Last Name:BAYS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:254-784-3111
Mailing Address - Street 1:518 S BOULDIN ST
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:TX
Mailing Address - Zip Code:76531-2340
Mailing Address - Country:US
Mailing Address - Phone:254-784-3111
Mailing Address - Fax:
Practice Address - Street 1:616 S RICE ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:TX
Practice Address - Zip Code:76531-2537
Practice Address - Country:US
Practice Address - Phone:254-784-3111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)