PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC (NPI# 1821097767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821097767 |
| Entity Type | Organization |
| Organization Name | PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC |
| Practice Address |
1239 E Main St Bartow FL 33830 |
| Mailing Address |
Po Box 1559 Bartow FL 33831-1559 |
| Practice Telephone | 8635190575 |
| Practice Fax Number | 8635829251 |
| Mailing Telephone | 8635190575 |
| Mailing Fax Number | 8635829251 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | MR. DAVID TOURNADE (CFO) |
| Authorized Official Telephone | 8635190575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| N | 284300000X | Special Hospital | Hospitals | ||
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 251B00000X | Case Management | Agencies | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 060310409 | 05 | |
| FL | 060310411 | 05 | |
| FL | 060310412 | 05 | |
| FL | 060310413 | 05 | |
| FL | 060310418 | 05 | |
| FL | 060310429 | 05 | |
| FL | 060310437 | 05 | |
| FL | 060310410 | 05 | |
| FL | 060310414 | 05 | |
| FL | 761545101 | 05 | |
| FL | 060310404 | 05 | |
| FL | 060310420 | 05 | |
| FL | 060310405 | 05 | |
| FL | 060310425 | 05 | |
| FL | 060310434 | 05 | |
| FL | 060310406 | 05 | |
| FL | 060310419 | 05 | |
| FL | 060310415 | 05 | |
| FL | 060310416 | 05 | |
| FL | 060310417 | 05 | |
| FL | 060310422 | 05 | |
| FL | 060310428 | 05 | |
| FL | 060310432 | 05 | |
| FL | 060310400 | 05 | |
| FL | 060310421 | 05 | |
| FL | 060310426 | 05 | |
| FL | 060310435 | 05 | |
| FL | 060310401 | 05 | |
| FL | 060310423 | 05 | |
| FL | 060310424 | 05 | |
| FL | 060310433 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 106 N Main Ave, Lake Placid, FL 338522604 | 8635190575 | |
| 1255 Golfview Ave, Bartow, FL 338306736 | 8635190575 | |
| 1825 Gilmore Ave, Lakeland, FL 338053017 | 8635190575 | |
| 1831 Gilmore Ave, Lakeland, FL 338053017 | 8635190575 | |
| 1835 Gilmore Ave, Lakeland, FL 338053017 | 8635190575 | |
| 213 E Orange St, Wauchula, FL 338732934 | 8635190575 | |
| 2929 Lakeland Hills Blvd, Lakeland, FL 338052223 | 8635190575 | |
| 3241 Lakeland Hills Blvd, Lakeland, FL 338052266 | 8635190575 | |
| 5950 S Florida Ave, Lakeland, FL 338132532 | 8635190575 | |
| 600 El Paseo, Lakeland, FL 338054521 | 8635190575 | |
| 621 N Lake Parker Ave, Lakeland, FL 338012040 | 8635190575 | |
| 715 N Lake Ave, Lakeland, FL 338011908 | 8635190575 | |
| 7205 S George Blvd, Sebring, FL 338755847 | 8635190575 | |
| 722 E Myrtle St, Lakeland, FL 338011850 | 8635190575 | |
| 728 E Bella Vista St, Lakeland, FL 338053088 | 8635190575 | |
| 950 County Road 17a W, Avon Park, FL 338252164 | 8635190575 |
| Street Address |
1239 E MAIN ST |
| City | BARTOW |
| State | FL |
| Zip Code | 33830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821600495 | Jennifer Feliz | Case Manager/Care Coordinator | 1239 E Main St, Bartow, FL 33830-5058 | 2020-08-17 |
| 1831715937 | Camila Febres Cordero Ramirez | Counselor | 1239 E Main St, Bartow, FL 33830-5058 | 2020-06-24 |
| 1255968509 | Cecilia Silva | Counselor | 1239 E Main St, Bartow, FL 33830-5058 | 2020-03-26 |
| 1205463551 | Briana Silveira | Community Health Worker | 1239 E Main St, Bartow, FL 33830-5058 | 2020-03-26 |
| 1043846314 | Delois Mitchell | Case Manager/Care Coordinator | 1239 E Main St, Bartow, FL 33830-5058 | 2020-03-19 |
| 1518593185 | Qushawna Hamilton | Case Manager/Care Coordinator | 1239 E Main St, Bartow, FL 33830-5058 | 2020-03-16 |
| 1912532714 | Andrew Fleming | Case Manager/Care Coordinator | 1239 E Main St, Bartow, FL 33830-5058 | 2020-03-12 |
| 1003441841 | Edda Colon Aviles | Case Manager/Care Coordinator | 1239 E Main St, Bartow, FL 33830-5058 | 2020-03-11 |
| 1376177469 | Jessica Desantis | Counselor | 1239 E Main St, Bartow, FL 33830-5058 | 2020-02-27 |
| 1508490053 | Hilda Deleon | Case Manager/Care Coordinator | 1239 E Main St, Bartow, FL 33830-5058 | 2020-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124667902 | Care 4 All | Family Medicine | 2020 Flamingo Drive, Bartow, FL 33830 | 2019-12-27 |
| 1366911638 | Suhog Project Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 260 W Van Fleet Dr Apt 41, Bartow, FL 33830 | 2018-11-16 |
| 1851836357 | Danielle Shoemaker | Pharmacist | 395 East Van Fleet Dr, Bartow, FL 33830 | 2016-12-20 |
| 1942681911 | Beatriz Garciaprieto Carmona | Internal Medicine | 2250 Osprey Blvd Ste 102, Bartow, FL 33830 | 2015-06-15 |
| 1538418843 | A Time for Sharing Global Ministries, Inc | Marriage & Family Therapist | 2389 E.f.griffin Road, 2, Bartow, FL 33830 | 2012-08-31 |
| 1235487000 | Evellar Marissa Mcallister | Nurse Practitioner | 1064 N Broadway Ave, Bartow, FL 33830 | 2012-08-27 |
| 1679821813 | Margaret Annette Nelson | Marriage & Family Therapist | 2389 E.f Griffin Road, Bartow, FL 33830 | 2012-08-20 |
| 1003104381 | Rocky Mountain Holdings LLC | Ambulance | 5581 Airport Blvd, Bartow, FL 33830 | 2011-07-20 |
| 1972733913 | Amy Curry | Surgery | 2000 Osprey Blvd Ste 205, Bartow, FL 33830 | 2009-07-24 |
| 1356532204 | Kids First Pediatrics Pa | Pediatrics | 2000 Osprey Blvd S, 107, Bartow, FL 33830 | 2007-08-06 |
| Find all providers in zip 33830 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414693 | Sunshine, Lollipops and Rainbows, LLC | Clinic/Center | 415 E Main St Ste 204, Bartow, FL 33830-4703 | 2020-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114823 | Community Behavior Care LLC | Clinic/Center | 221 Ne 164th Street, Unit 276, North Miami Beach, FL 33160 | 2020-11-06 |
| 1912508938 | Melissa Frieder, LLC | Clinic/Center | 7001 Sw 97th Ave Ste 203, Miami, FL 33173-1407 | 2020-11-05 |
| 1073114278 | Love Family Health Center Corp | Clinic/Center | 313 Palm Ave, Hialeah, FL 33010-4715 | 2020-11-04 |
| 1235730417 | Aspire Health Partners, Inc. | Clinic/Center | 4520 Oak Fair Blvd, Tampa, FL 33610-7356 | 2020-11-04 |
| 1053912469 | Loves Community Mental Health Inc | Clinic/Center | 2 Nw 30th Ave, Miami, FL 33125 | 2020-11-03 |
| 1437759032 | Loves Community Mental Health Inc | Clinic/Center | 3011 W Flagler St Unit A, Miami, FL 33135-1222 | 2020-11-01 |
| 1790385342 | New Family Wellness Center Inc | Clinic/Center | 8200 Nw 41st St Ste 200-98, Doral, FL 33166-6205 | 2020-10-31 |
| 1619577475 | Prestige Behavioral Health Center, LLC | Clinic/Center | 7318 W 20th Ave, Hialeah, FL 33016-1855 | 2020-10-29 |
| 1255931101 | Pine Grove Counseling LLC | Clinic/Center | 539 Se Van Loon Ter, Cape Coral, FL 33990-1157 | 2020-10-29 |
| 1831799766 | Mindset Mental Health Services Inc | Clinic/Center | 12485 Sw 137th Ave Ste 109, Miami, FL 33186-4215 | 2020-10-29 |
| 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.