| Peaceful Mind Healing | |
|
5301 Buckeystown Pike Ste 440 Frederick MD 21704-8370 | |
| (240) 651-3890 | |
| (240) 815-6015 |
| Full Name | Peaceful Mind Healing |
|---|---|
| Speciality | Psychologist |
| Location | 5301 Buckeystown Pike Ste 440, Frederick, Maryland |
| Authorized Official Name and Position | Shouh-rong Vivian Tsai (OWNER) |
| Authorized Official Contact | 2406513890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaceful Mind Healing 5301 Buckeystown Pike Ste 440 Frederick MD 21704-8370 Ph: (240) 651-3890 | Peaceful Mind Healing 5301 Buckeystown Pike Ste 440 Frederick MD 21704-8370 Ph: (240) 651-3890 |
| NPI Number | 1023513371 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 09/12/2020 |
| Certification Date | 09/12/2020 |
| Medicare PECOS PAC ID | 0345502464 |
|---|---|
| Medicare Enrollment ID | O20180329000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023513371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 05117 (Maryland) | Primary |
| Provider Name | Shouh-rong Vivian Tsai |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053756908 PECOS PAC ID: 4688815061 Enrollment ID: I20130727000031 |
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