Provider Demographics
NPI:1982395497
Name:HEART OF PEACE COUNSELING, PLLC
Entity Type:Organization
Organization Name:HEART OF PEACE COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYANT-RENFRO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:828-578-4344
Mailing Address - Street 1:3927 TOWNES BLVD
Mailing Address - Street 2:
Mailing Address - City:TERRELL
Mailing Address - State:NC
Mailing Address - Zip Code:28682-8759
Mailing Address - Country:US
Mailing Address - Phone:828-320-3886
Mailing Address - Fax:
Practice Address - Street 1:260 1ST AVE NW STE 201
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-6161
Practice Address - Country:US
Practice Address - Phone:828-320-3886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-16
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty