Provider Demographics
NPI:1336746973
Name:PEACE, HOPE & HARMONY, INC.
Entity Type:Organization
Organization Name:PEACE, HOPE & HARMONY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHIATRIC/MENTAL HEALTH NP
Authorized Official - Prefix:MRS
Authorized Official - First Name:NADJA
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:469-264-5133
Mailing Address - Street 1:661 E MAIN ST STE 200-174
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-3340
Mailing Address - Country:US
Mailing Address - Phone:469-264-5133
Mailing Address - Fax:
Practice Address - Street 1:661 E MAIN ST STE 200-174
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-3340
Practice Address - Country:US
Practice Address - Phone:469-264-5133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)