Provider Demographics
NPI:1205683844
Name:PEACE OF MIND WELLNESS SERVICES
Entity type:Organization
Organization Name:PEACE OF MIND WELLNESS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BENITA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:APN, PMHNP-BC
Authorized Official - Phone:609-300-6133
Mailing Address - Street 1:87 MISTY MORN LN
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08638-1815
Mailing Address - Country:US
Mailing Address - Phone:609-372-7499
Mailing Address - Fax:
Practice Address - Street 1:2564 US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-4100
Practice Address - Country:US
Practice Address - Phone:609-300-6133
Practice Address - Fax:609-900-8951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-01
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty