Provider Demographics
NPI:1457596322
Name:PEACE OF MIND PSYCHOTHERAPY, LLC
Entity Type:Organization
Organization Name:PEACE OF MIND PSYCHOTHERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ECHLIN DONAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:772-219-9566
Mailing Address - Street 1:819 SW FEDERAL HWY
Mailing Address - Street 2:SUITE 200B
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2952
Mailing Address - Country:US
Mailing Address - Phone:772-219-9566
Mailing Address - Fax:772-220-8381
Practice Address - Street 1:819 SW FEDERAL HWY
Practice Address - Street 2:SUITE 200B
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2952
Practice Address - Country:US
Practice Address - Phone:772-219-9566
Practice Address - Fax:772-220-8381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3693101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ8422OtherBCBS FLA