| Peace Of Mind Therapeutic Solutions, Llc | |
|
355 Crawford St Ste 102 Portsmouth VA 23704-2817 | |
| (757) 966-1270 | |
| (757) 966-2967 |
| Full Name | Peace Of Mind Therapeutic Solutions, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 355 Crawford St Ste 102, Portsmouth, Virginia |
| Authorized Official Name and Position | Keisha Ridley (PRACTICE MANAGER) |
| Authorized Official Contact | 7579661270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Of Mind Therapeutic Solutions, Llc 355 Crawford St Ste 102 Portsmouth VA 23704-2817 Ph: (757) 966-1270 | Peace Of Mind Therapeutic Solutions, Llc 355 Crawford St Ste 102 Portsmouth VA 23704-2817 Ph: (757) 966-1270 |
| NPI Number | 1477178218 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Medicare PECOS PAC ID | 3577988484 |
|---|---|
| Medicare Enrollment ID | O20200808000132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477178218 | NPI | - | NPPES |
| Provider Name | Tiffany Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558687954 PECOS PAC ID: 9830354711 Enrollment ID: I20120626000783 |
| Provider Name | Karen Fields-sykes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750747168 PECOS PAC ID: 5294032173 Enrollment ID: I20160321000076 |
| Provider Name | Latoya Shant'e Kearney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861856577 PECOS PAC ID: 6901191097 Enrollment ID: I20160829002068 |
| Provider Name | Angel M Williams-kent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598219214 PECOS PAC ID: 2961782859 Enrollment ID: I20161212001414 |
| Provider Name | Jonathan C Gogol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437894748 PECOS PAC ID: 3072994995 Enrollment ID: I20220722001423 |
| Provider Name | Kenita D Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437769627 PECOS PAC ID: 0244615839 Enrollment ID: I20220919000598 |
| Provider Name | Keymal J Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447975230 PECOS PAC ID: 7618346677 Enrollment ID: I20221213003402 |
| Provider Name | Tanyatta Deanna Green |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1033649157 PECOS PAC ID: 1850765280 Enrollment ID: I20230324002240 |
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