| Peace Within | |
|
5904 S. Cooper Ste. 104 - Pmb 162 Arlington TX 76017 | |
| (682) 331-2685 | |
| (682) 204-6648 |
| Full Name | Peace Within |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5904 S. Cooper Ste. 104 - Pmb 162, Arlington, Texas |
| Authorized Official Name and Position | Sharon J Durham (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 6823312685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Within 5904 S. Cooper Ste. 104 - Pmb 162 Arlington TX 76017 Ph: (682) 331-2685 | Peace Within 5904 S. Cooper Ste. 104 - Pmb 162 Arlington TX 76017 Ph: (682) 331-2685 |
| NPI Number | 1003385386 |
|---|---|
| Provider Enumeration Date | 11/16/2018 |
| Last Update Date | 11/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003385386 | NPI | - | NPPES |
| 3635153-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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