| Peaceful Soul Counseling And Group Therapy | |
|
1501 N Charlotte Ave Ste B-127 Monroe NC 28110-2525 | |
| (440) 502-0890 | |
| Not Available |
| Full Name | Peaceful Soul Counseling And Group Therapy |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1501 N Charlotte Ave Ste B-127, Monroe, North Carolina |
| Authorized Official Name and Position | Kandace Graves (OWNER) |
| Authorized Official Contact | 4405020890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaceful Soul Counseling And Group Therapy 5707 Falkirk Ln Matthews NC 28104-0664 Ph: (440) 502-0890 | Peaceful Soul Counseling And Group Therapy 1501 N Charlotte Ave Ste B-127 Monroe NC 28110-2525 Ph: (440) 502-0890 |
| NPI Number | 1922644541 |
|---|---|
| Provider Enumeration Date | 11/19/2019 |
| Last Update Date | 01/16/2024 |
| Certification Date | 01/16/2024 |
| Medicare PECOS PAC ID | 9830541333 |
|---|---|
| Medicare Enrollment ID | O20240120000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922644541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kandace Leigh Graves |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831697564 PECOS PAC ID: 0749632248 Enrollment ID: I20240120000029 |
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