Provider Demographics
NPI:1831957380
Name:PEACEFUL PRACTICE COUNSELING
Entity type:Organization
Organization Name:PEACEFUL PRACTICE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC / LADC OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:475-332-6618
Mailing Address - Street 1:7231 TOWN RDG
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-6550
Mailing Address - Country:US
Mailing Address - Phone:203-908-1148
Mailing Address - Fax:
Practice Address - Street 1:7231 TOWN RDG
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-6550
Practice Address - Country:US
Practice Address - Phone:203-908-1148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty