Provider Demographics
NPI:1952127185
Name:PEACE LOVE AND THERAPY WINSTON SALEM PLLC
Entity type:Organization
Organization Name:PEACE LOVE AND THERAPY WINSTON SALEM PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO LCMHC
Authorized Official - Prefix:
Authorized Official - First Name:JANA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LINDSAY
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC LPC
Authorized Official - Phone:570-351-2336
Mailing Address - Street 1:764 BIG TREE DR
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27023-8676
Mailing Address - Country:US
Mailing Address - Phone:570-351-2336
Mailing Address - Fax:
Practice Address - Street 1:3410 HEALY DR STE 201D
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-1568
Practice Address - Country:US
Practice Address - Phone:570-351-2336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-03
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty