PEACEFUL MENTAL HEALTH ASOCIATE, LLC (NPI# 1386902252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386902252 |
| Entity Type | Organization |
| Organization Name | PEACEFUL MENTAL HEALTH ASOCIATE, LLC |
| Practice Address |
105 South 9th Ave. Wauchula FL 33873 |
| Practice Telephone | 8637730002 |
| Practice Fax Number | 8637736389 |
| Mailing Telephone | 8637730002 |
| Mailing Fax Number | 8637736389 |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |
| Authorized Official Name | MRS. SARAH ELIZABETH JOHNSON (OWNER) |
| Authorized Official Telephone | 8637730002 |
| Authorized Official Credential | MS.,LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH10369 | FL | Behavioral Health & Social Service Providers |
| Street Address |
105 SOUTH 9TH AVE. |
| City | WAUCHULA |
| State | FL |
| Zip Code | 33873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134668726 | Davinci Healthcare Management, Inc | In Home Supportive Care | 1772 Doyle Carlton Road, Wauchula, FL 33873 | 2017-02-16 |
| 1609261056 | Gloria Jean Shackelford | Massage Therapist | 114 W Orange St, Wauchula, FL 33873 | 2015-04-02 |
| 1790116911 | Central Florida Health Care, Inc. | Clinic/Center | 121 Kd Revell Road, Wauchula, FL 33873 | 2013-12-13 |
| 1962672105 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 301 S. 6th Ave, Wauchula, FL 33873 | 2008-03-04 |
| 1225249667 | Magali Bobe | Physical Therapist | 1330 Highway.17 South, Wauchula, FL 33873 | 2007-05-25 |
| 1285849075 | Dentalcentre of West Fl. Pa | Dentist | 203 South 7th Ave, Wauchula, FL 33873 | 2007-05-14 |
| 1275680324 | Douglas Oliver Smith | Occupational Therapist | 1330 Highway 17 South, Wauchula, FL 33873 | 2007-01-04 |
| 1649354713 | Hardee Countyboard of County Commissioners | Ambulance | 149 Kd Revell Rd, Wauchula, FL 33873 | 2006-10-25 |
| 1194810879 | John Ash | Case Manager/Care Coordinator | 213 E Orange Street, Suite B Peace River Center, Wauchula, FL 33873 | 2006-10-04 |
| 1225135353 | Sf IIi Tlf, LLC | Rehabilitation Hospital | 1962 Vandolah Road, Wauchula, FL 33873 | 2006-09-20 |
| Find all providers in zip 33873 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245625839 | Brandi Horak | Counselor | 202 S 9th Ave, Wauchula, FL 33873-2812 | 2015-04-01 |
| 1306141452 | Sarah Johnson | Counselor | 105 S 9th Ave, Wauchula, FL 33873-2809 | 2011-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457161 | Jenna Grace Mallek Campos | Counselor | 13626 Phoenix Dr, Orlando, FL 32828-9338 | 2020-11-07 |
| 1295336089 | Resilience Behavioral Health LLC | Counselor | 3211 Calumet Dr, Orlando, FL 32810-2023 | 2020-11-06 |
| 1538760392 | Darcy Lynn Coleman | Counselor | 325 Se 28th Ter, Cape Coral, FL 33904-3416 | 2020-11-06 |
| 1407457203 | Marylon Larkins | Counselor | 1525 W Broadway St, Oviedo, FL 32765-6576 | 2020-11-06 |
| 1639770423 | Nickole Marguerite Wyse | Counselor | 7901 4th St N Ste 4000, St Petersburg, FL 33702-4305 | 2020-11-06 |
| 1275134066 | Hyacinth Anne Morgan | Counselor | 1001 W Cypress Creek Rd Ste 302s, Fort Lauderdale, FL 33309-1950 | 2020-11-06 |
| 1245831288 | John Lopez IIi | Counselor | 3024 Smith Ave, Bradenton, FL 34207-5558 | 2020-11-05 |
| 1326649435 | Taylor Shannon Wolfe | Counselor | 8312 Catria Ln, Lake Worth, FL 33467-6706 | 2020-11-04 |
| 1427659630 | Sherrie Wade | Counselor | 260 Ne Wavecrest Way, Boca Raton, FL 33432-4220 | 2020-11-04 |
| 1396346656 | Ariel K Heyliger St. Fleur | Counselor | 9104 Nw 39th St, Coral Springs, FL 33065-2421 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
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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.