| Peaceful Place Psychiatry Llc | |
|
8929 Shady Grove Ct Gaithersburg MD 20877-1308 | |
| (202) 465-5703 | |
| Not Available |
| Full Name | Peaceful Place Psychiatry Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8929 Shady Grove Ct, Gaithersburg, Maryland |
| Authorized Official Name and Position | Lily Parsey (OWNER) |
| Authorized Official Contact | 2024655703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaceful Place Psychiatry Llc 8929 Shady Grove Ct Gaithersburg MD 20877-1308 Ph: (301) 291-5988 | Peaceful Place Psychiatry Llc 8929 Shady Grove Ct Gaithersburg MD 20877-1308 Ph: (202) 465-5703 |
| NPI Number | 1164120861 |
|---|---|
| Provider Enumeration Date | 02/21/2023 |
| Last Update Date | 04/27/2023 |
| Certification Date | 04/27/2023 |
| Medicare PECOS PAC ID | 8820458854 |
|---|---|
| Medicare Enrollment ID | O20230721001062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164120861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Lily Parsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821514035 PECOS PAC ID: 9931475951 Enrollment ID: I20210622002355 |
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