Provider Demographics
NPI:1457387623
Name:PEACE OF MIND COUNSELING, LTD.
Entity Type:Organization
Organization Name:PEACE OF MIND COUNSELING, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SERENE
Authorized Official - Middle Name:R
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LMFT
Authorized Official - Phone:215-703-3215
Mailing Address - Street 1:555 2ND AVE
Mailing Address - Street 2:SUITE B-350
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-3600
Mailing Address - Country:US
Mailing Address - Phone:215-703-3215
Mailing Address - Fax:215-703-3217
Practice Address - Street 1:555 2ND AVE
Practice Address - Street 2:SUITE B-350
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-3600
Practice Address - Country:US
Practice Address - Phone:215-703-3215
Practice Address - Fax:215-703-3217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003763101YP2500X
VA0701003315101YP2500X
VA0717001082106H00000X
PAMF000492106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty