| Life & Peace Counseling Llc | |
|
10111 Martin Luther King Jr Hwy Ste 118 Bowie MD 20720-4226 | |
| (301) 257-3276 | |
| Not Available |
| Full Name | Life & Peace Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10111 Martin Luther King Jr Hwy Ste 118, Bowie, Maryland |
| Authorized Official Name and Position | Jessica Mckinnie (OWNER) |
| Authorized Official Contact | 3012573276 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life & Peace Counseling Llc 10111 Martin Luther King Jr Hwy Ste 118 Bowie MD 20720-4226 Ph: (301) 257-3276 | Life & Peace Counseling Llc 10111 Martin Luther King Jr Hwy Ste 118 Bowie MD 20720-4226 Ph: (301) 257-3276 |
| NPI Number | 1740915958 |
|---|---|
| Provider Enumeration Date | 07/21/2022 |
| Last Update Date | 07/21/2022 |
| Certification Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8729455860 |
|---|---|
| Medicare Enrollment ID | O20221103000086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740915958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jessica Lynne Mckinnie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316442619 PECOS PAC ID: 1951664028 Enrollment ID: I20180424002521 |
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