| Peace Of Mind Therapeutic Services, Llc | |
|
1711 Brightwell Ct Waldorf MD 20602-1634 | |
| (202) 580-9029 | |
| (301) 850-1121 |
| Full Name | Peace Of Mind Therapeutic Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1711 Brightwell Ct, Waldorf, Maryland |
| Authorized Official Name and Position | Teonna L Wallop (THERAPIST) |
| Authorized Official Contact | 3018501121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Of Mind Therapeutic Services, Llc 1711 Brightwell Ct Waldorf MD 20602-1634 Ph: (202) 580-9029 | Peace Of Mind Therapeutic Services, Llc 1711 Brightwell Ct Waldorf MD 20602-1634 Ph: (202) 580-9029 |
| NPI Number | 1053664110 |
|---|---|
| Provider Enumeration Date | 10/25/2012 |
| Last Update Date | 10/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053664110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LC4121 (Maryland) | Primary |
| 251S00000X | Community/behavioral Health | PRC14226 (District Of Columbia) | Secondary |
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