| Peace Of Mind Mental Health Services Llc | |
|
29315 Erickson Drive Easton MD 21601-8651 | |
| (410) 690-8181 | |
| (410) 690-8185 |
| Full Name | Peace Of Mind Mental Health Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 29315 Erickson Drive, Easton, Maryland |
| Authorized Official Name and Position | Jennifer D Short (PARTNER) |
| Authorized Official Contact | 4106908181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Of Mind Mental Health Services Llc 29315 Erickson Drive Easton MD 21601-8651 Ph: (410) 690-8181 | Peace Of Mind Mental Health Services Llc 29315 Erickson Drive Easton MD 21601-8651 Ph: (410) 690-8181 |
| NPI Number | 1952715161 |
|---|---|
| Provider Enumeration Date | 06/16/2014 |
| Last Update Date | 04/20/2022 |
| Certification Date | 04/20/2022 |
| Medicare PECOS PAC ID | 6103047436 |
|---|---|
| Medicare Enrollment ID | O20141029002314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952715161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Karen A Siegman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912923954 PECOS PAC ID: 5799731915 Enrollment ID: I20050330000590 |
| Provider Name | Jennifer D Short |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275603144 PECOS PAC ID: 9830240696 Enrollment ID: I20090708000145 |
| Provider Name | Julia R Strong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164556734 PECOS PAC ID: 5890823504 Enrollment ID: I20100526000894 |
| Provider Name | Wala Neh A Labala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396832010 PECOS PAC ID: 9032242375 Enrollment ID: I20100806000258 |
| Provider Name | Amanda L Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427280072 PECOS PAC ID: 2860674686 Enrollment ID: I20110315000445 |
| Provider Name | Justin G Wade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467539676 PECOS PAC ID: 6406847250 Enrollment ID: I20120628000456 |
| Provider Name | Jill A Burgholzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538440862 PECOS PAC ID: 2365698214 Enrollment ID: I20120808000363 |
| Provider Name | Christina L Acree |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679827794 PECOS PAC ID: 2264757459 Enrollment ID: I20150210002037 |
| Provider Name | James O'neil Siegman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033540406 PECOS PAC ID: 7810285855 Enrollment ID: I20161007000283 |
| Provider Name | Shanez Theresa Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518247899 PECOS PAC ID: 8820386717 Enrollment ID: I20161010000150 |
| Provider Name | Leslie Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548785017 PECOS PAC ID: 5496021404 Enrollment ID: I20171019000028 |
| Provider Name | Dianna Severance Hanna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568764579 PECOS PAC ID: 4284961061 Enrollment ID: I20190816001904 |
| Provider Name | Misty Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366922080 PECOS PAC ID: 8022493618 Enrollment ID: I20220919000399 |
| Provider Name | Kristy R Peck-hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033816632 PECOS PAC ID: 5799140737 Enrollment ID: I20230427000356 |
| Provider Name | Donna Marie Grow Dunlap |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508247784 PECOS PAC ID: 8022461201 Enrollment ID: I20240124003882 |
| Provider Name | Amy Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992175079 PECOS PAC ID: 5597118687 Enrollment ID: I20240124004581 |
| Provider Name | Dominique Navarro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942675012 PECOS PAC ID: 0143673285 Enrollment ID: I20240125001453 |
| Provider Name | Brittany L Marshall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740792548 PECOS PAC ID: 9739532649 Enrollment ID: I20240126003150 |
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