Provider Demographics
NPI:1700241163
Name:PEACE AND INNER HARMONY SERVICES LLC
Entity Type:Organization
Organization Name:PEACE AND INNER HARMONY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SOLE MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARITA
Authorized Official - Middle Name:R
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:301-526-4159
Mailing Address - Street 1:6307 BARNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-2298
Mailing Address - Country:US
Mailing Address - Phone:301-526-4159
Mailing Address - Fax:
Practice Address - Street 1:6307 BARNWOOD DR
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-2298
Practice Address - Country:US
Practice Address - Phone:301-526-4159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-29
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16210251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health