| A Peaceful Place Integrated Care | |
|
1001 S Bradford St Ste 7 Dover DE 19904-4153 | |
| (302) 264-9436 | |
| (302) 264-9702 |
| Full Name | A Peaceful Place Integrated Care |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1001 S Bradford St Ste 7, Dover, Delaware |
| Authorized Official Name and Position | Ericka Daniel (CEO/PROVIDER) |
| Authorized Official Contact | 3022649436 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Peaceful Place Integrated Care 1211 Ponderosa Dr Magnolia DE 19962 Ph: (302) 222-3136 | A Peaceful Place Integrated Care 1001 S Bradford St Ste 7 Dover DE 19904-4153 Ph: (302) 264-9436 |
| NPI Number | 1801487046 |
|---|---|
| Provider Enumeration Date | 01/31/2021 |
| Last Update Date | 05/29/2024 |
| Certification Date | 05/29/2024 |
| Medicare PECOS PAC ID | 1355742735 |
|---|---|
| Medicare Enrollment ID | O20210622003821 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801487046 | NPI | - | NPPES |
| LG-0000855 | Other | DE | STATES LICENSE |
| 1992186142 | Medicaid | DE |
| Provider Name | Ericka Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992186142 PECOS PAC ID: 6709170913 Enrollment ID: I20160811000782 |
| Provider Name | Nicole Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366974628 PECOS PAC ID: 7113294034 Enrollment ID: I20170525000568 |
| Provider Name | Martona Moody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831481761 PECOS PAC ID: 2365868973 Enrollment ID: I20200813001098 |
| Provider Name | Anthony Agbola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659044204 PECOS PAC ID: 9032503354 Enrollment ID: I20220303000418 |
| Provider Name | Jasmine Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093383747 PECOS PAC ID: 6204228786 Enrollment ID: I20231014000641 |
| Provider Name | Jennifer L Cropper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841357746 PECOS PAC ID: 6901254184 Enrollment ID: I20231128003877 |
Northnode Group Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1418 S State St, Dover, DE 19901 Phone: 302-257-3135 Fax: 302-526-2410 | |
I & K Quality Health Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 229 Jordan Dr, Dover, DE 19904 Phone: 303-674-5259 | |
Goodnights Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 725 Walker Rd, Dover, DE 19904 Phone: 302-270-3906 | |
Indigo Wellness, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 Kings Hwy Ste 302, Dover, DE 19901 Phone: 302-450-3936 Fax: 302-450-3927 | |
Kent Sussex Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1241 College Park Dr, Dover, DE 19904 Phone: 302-735-7790 Fax: 302-735-3654 | |
Wellspectrum, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111b S Governors Ave Ste 20788, Dover, DE 19904 Phone: 888-682-3024 | |
Embracing Oak Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 E Loockerman St Ste 302, Dover, DE 19901 Phone: 412-953-2791 |