PEACE OF MIND THERAPEUTIC SERVICES, LLC (NPI# 1053664110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053664110 |
| Entity Type | Organization |
| Organization Name | PEACE OF MIND THERAPEUTIC SERVICES, LLC |
| Practice Address |
1711 Brightwell Ct Waldorf MD 20602-1634 |
| Practice Telephone | 2025809029 |
| Practice Fax Number | 3018501121 |
| Mailing Telephone | 2025809029 |
| Mailing Fax Number | 3018501121 |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |
| Authorized Official Name | MS. TEONNA L WALLOP (THERAPIST) |
| Authorized Official Telephone | 3018501121 |
| Authorized Official Credential | LCPC, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | PRC14226 | DC | Agencies |
| Y | 251S00000X | Community/Behavioral Health | LC4121 | MD | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164991170 | Peace of Mind Therapeutic Services, LLC | Counselor | 9 Village Ct, Hazlet, NJ 07730-1531 | 2018-11-19 |
| Street Address |
1711 BRIGHTWELL CT |
| City | WALDORF |
| State | MD |
| Zip Code | 20602-1634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548789993 | Teonna L Wallop | Counselor | 1711 Brightwell Ct, Waldorf, MD 20602-1634 | 2017-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
| 1679137194 | Brighter Days Family Services Inc | Counselor | 11680 Doolittle Dr #111, Waldorf, MD 20602 | 2019-04-30 |
| 1396227039 | Lantern Family Services Inc | Community/Behavioral Health | 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 | 2018-08-29 |
| 1093294910 | Metropolitan Vascular Institute LLC | Internal Medicine | 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 | 2018-08-10 |
| 1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
| 1467945030 | Donna Marie Conley-shaw | Behavior Technician | 16 Pagnell Cir, Waldorf, MD 20602 | 2018-06-08 |
| 1811404296 | Loni Berbaum | Speech-Language Pathologist | 4817 Elmley Pl Apt 315, Waldorf, MD 20602 | 2018-01-06 |
| 1891224853 | Linda E Smith | Social Worker | 605 Pst Office Road, #301, Waldorf, MD 20602 | 2017-06-05 |
| 1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
| 1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
| Find all providers in zip 20602 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736164 | Pathways, Inc. | Community/Behavioral Health | 2670 Crain Hwy Ste 407, Waldorf, MD 20601-2818 | 2019-12-05 |
| 1457814246 | Summit Counseling Services. LLC | Community/Behavioral Health | 2671 Mattawoman Beantown Rd, Waldorf, MD 20601-2340 | 2019-04-09 |
| 1396227039 | Lantern Family Services Inc | Community/Behavioral Health | 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 | 2018-08-29 |
| 1609356575 | Vesta, Inc. | Community/Behavioral Health | 22 Industrial Park Dr Ste A, Waldorf, MD 20602-2792 | 2018-08-20 |
| 1841731148 | Love To Care LLC | Community/Behavioral Health | 5410 Leonardtown Rd, Waldorf, MD 20601-3682 | 2017-03-20 |
| 1942572466 | Regenerations Counseling Services Inc | Community/Behavioral Health | 3621 Old Washington Rd, Suite 1040, Waldorf, MD 20602-3210 | 2012-01-30 |
| 1982163283 | Dillard & Associates, LLC | Community/Behavioral Health | 3261 Old Washington Rd Ste 2020, Waldorf, MD 20602-3231 | 2019-03-16 |
| 1437621026 | Dalton J. Johnson & Assoicates | Community/Behavioral Health | 4660 Prestancia Pl Apt 107, Waldorf, MD 20602-4119 | 2018-12-20 |
| 1891297677 | Project Chesapeake, LLC | Community/Behavioral Health | 21 Industrial Park Dr, Waldorf, MD 20602-2751 | 2018-03-07 |
| 1669907796 | Dillard & Associates, LLC | Community/Behavioral Health | 3261 Old Washington Rd Ste 2020, Waldorf, MD 20602 | 2017-04-26 |
| Find all providers in WALDORF | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.