PEACE FOR LIFE COUNSELING, LLC (NPI# 1093378978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093378978 |
Entity Type | Organization |
Organization Name | PEACE FOR LIFE COUNSELING, LLC |
Practice Address |
7485 State Road 64 Georgetown IN 47122-8735 |
Practice Telephone | 5015388274 |
Mailing Telephone | 5015388274 |
Enumeration Date | 2019-04-17 |
Last Update Date | 2019-04-17 |
Authorized Official Name | MARY MARGARET CARNAHAN (MENTAL HEALTH THERAPIST) |
Authorized Official Telephone | 5015388274 |
Authorized Official Credential | LMHC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Street Address |
7485 STATE ROAD 64 |
City | GEORGETOWN |
State | IN |
Zip Code | 47122-8735 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912139593 | Mary Margaret Carnahan | Counselor | 7485 State Road 64, Georgetown, IN 47122-8735 | 2009-08-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609054097 | Rush Memorial Hospital | Skilled Nursing Facility | 1002 Sister Barbara Way, Georgetown, IN 47122 | 2008-02-07 |
1033322110 | Victoria S Evans | Occupational Therapy Assistant | 1504 Allen Dr, Georgetown, IN 47122 | 2007-05-07 |
1285706580 | William Thomas Steinwedel | Dentist | 7614 Sr 64, Suite B, Georgetown, IN 47122 | 2006-11-14 |
1942583281 | Teresa Lea Shaffer | Pharmacist | 6310 Forest Grove Dr Ne, Georgetown, IN 47122-7764 | 2011-09-22 |
1164553004 | Tonja F Foster | Physical Therapist | 3108 Brazil Lake Pkwy, Georgetown, IN 47122-8602 | 2007-03-09 |
1710436613 | Rebecca Todd | Physical Therapist | 7105 Branden Dr, Georgetown, IN 47122-8612 | 2016-10-03 |
1477603538 | Providence Self Sufficiency Ministries Inc | Community Based Residential Treatment Facility, Mental Illness | 8037 Unruh Dr, Georgetown, IN 47122-8759 | 2007-01-11 |
1740330364 | Providence Self Sufficiency Ministries | Private Vehicle | 8037 Unruh Dr, Georgetown, IN 47122-8759 | 2007-01-12 |
1467722074 | Providence Self Sufficiency Ministries, Inc. | Home Health | 1400 Cristiani Way, Georgetown, IN 47122-8783 | 2012-01-12 |
1245514827 | Edward Riggle Jr. | Pharmacist | 9012 Richland Dr, Georgetown, IN 47122-8830 | 2011-09-30 |
Find all providers in zip 47122 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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Find all providers with the same taxonomy |
City | GEORGETOWN |
Zip Code | 47122 |
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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.