PEACEFUL MIND THERAPY OF FLORIDA, LLC (NPI# 1316456791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316456791 |
| Entity Type | Organization |
| Organization Name | PEACEFUL MIND THERAPY OF FLORIDA, LLC |
| Practice Address |
860 111th Ave N Ste 6 Naples FL 34108-1835 |
| Practice Telephone | (239) 272-6214 |
| Mailing Telephone | 2392726214 |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |
| Authorized Official Name | MRS. JANE ROSE SIMMONS (OWNER) |
| Authorized Official Telephone | 2392726214 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
MH12440 | FL | Ambulatory Health Care Facilities |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH12440 | FL | Behavioral Health & Social Service Providers |
| Street Address |
860 111TH AVE N STE 6 |
| City | NAPLES |
| State | FL |
| Zip Code | 34108-1835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578815510 | Suzan M Gallucci | Counselor | 860 111th Ave N Ste 6, Naples, FL 34108-1835 | 2012-10-14 |
| 1689213688 | Smg Counseling, LLC | Counselor | 860 111th Ave N Ste 6, Naples, FL 34108-1835 | 2019-12-23 |
| 1649771551 | Logan Bell | Counselor | 860 111th Ave N Ste 6, Naples, FL 34108-1835 | 2018-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417422262 | Alejandra Herrera Munoz | Occupational Therapist | 646 103rd Ave N, Naples, FL 34108 | 2018-10-08 |
| 1912402983 | Cvs Aoc Services, L.L.C. | Audiologist-Hearing Aid Fitter | 8863h Tamiami Trl N, Naples, FL 34108 | 2018-03-29 |
| 1861886863 | Zounds Hearing | Durable Medical Equipment & Medical Supplies | 9331 Tamiami Trail, Naples, FL 34108 | 2015-03-27 |
| 1750651220 | Dr. Alfonso Olivos, P.a. | Family Medicine | 873 101 Avenue N., Naples, FL 34108 | 2011-12-30 |
| 1083901367 | Gregory Alan Mazur | Podiatrist | 9915 Tamiami Trl N Ste 1, Naples, FL 34108 | 2011-07-07 |
| 1124253398 | G B Fisher IIi Do Pa | Ophthalmology | 875 105 Ave North, Naples, FL 34108 | 2009-05-18 |
| 1134378466 | Susanna Alis | Counselor | 9853 Tamiami Trl N Ste 227c, Naples, FL 34108 | 2008-09-10 |
| 1194995720 | William Nicholas Sullivan | Dentist | 6100 Trail Blvd North, Suite 1, Naples, FL 34108 | 2008-03-11 |
| 1285838219 | John Woolman Cox | Dermatology | 650 Bridgeway Lane, Naples, FL 34108 | 2007-06-13 |
| 1780888263 | Gerald Frank Levens | Family Medicine | 1175 Creekside Pkwy Ste 200, Naples, FL 34108 | 2007-06-11 |
| Find all providers in zip 34108 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574979 | Melissa Ghirimoldi | Counselor | 10621 Airport Pulling Rd N Ste 7, Naples, FL 34109-7300 | 2020-09-29 |
| 1952912834 | Kylie Champa | Counselor | 2345 Stanford Ct Ste 602, Naples, FL 34112-4841 | 2020-08-13 |
| 1922617760 | Pamela Joy Mullinix | Counselor | 8 Spruce Ln, Naples, ME 04055-3628 | 2020-07-28 |
| 1952930984 | Meagan Hope Maddux | Counselor | 4485 20th Ave Ne, Naples, FL 34120-8989 | 2020-04-02 |
| 1790329373 | Christine Arigo | Counselor | 501 Goodlette Frank Rd Ste D100, Naples, FL 34102-5666 | 2019-11-06 |
| 1952942799 | Karen Irene Maldonado | Counselor | 215 Deerwood Cir, Naples, FL 34113-8933 | 2019-10-02 |
| 1780238790 | James E Trinnaman IIi | Counselor | 2145 Cay Lagoon Dr Apt 314, Naples, FL 34109-4800 | 2019-07-29 |
| 1194280966 | Monica Joseph | Counselor | 5050 Tamiami Trl N Ste B, Naples, FL 34103-2853 | 2019-02-06 |
| 1699250605 | Elizabeth Chamberlain | Counselor | 5621 Strand Blvd Ste 109, Naples, FL 34110-7302 | 2018-09-26 |
| 1003390774 | Lourdes Araujo | Counselor | 1570 Shadowlawn Dr, Naples, FL 34104-4321 | 2018-09-19 |
| Find all providers in NAPLES | ||||
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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.