| Peace Of Mind Wellness Center | |
|
2720 E Thomas Rd Ste A100 Phoenix AZ 85016-8217 | |
| (602) 354-5575 | |
| Not Available |
| Full Name | Peace Of Mind Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2720 E Thomas Rd Ste A100, Phoenix, Arizona |
| Authorized Official Name and Position | Myisha Katter (CEO) |
| Authorized Official Contact | 6023545575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Of Mind Wellness Center 2720 E Thomas Rd Ste A100 Phoenix AZ 85016-8217 Ph: (602) 354-5575 | Peace Of Mind Wellness Center 2720 E Thomas Rd Ste A100 Phoenix AZ 85016-8217 Ph: (602) 354-5575 |
| NPI Number | 1215607957 |
|---|---|
| Provider Enumeration Date | 09/15/2021 |
| Last Update Date | 05/27/2022 |
| Medicare PECOS PAC ID | 5991182834 |
|---|---|
| Medicare Enrollment ID | O20220516002380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215607957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Marilyn A Staires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962724799 PECOS PAC ID: 7517082845 Enrollment ID: I20100910000050 |
| Provider Name | Katrina Kaczmarek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760171243 PECOS PAC ID: 5496194623 Enrollment ID: I20240424001108 |
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