NPI Profile for PEACEFUL MIND THERAPEUTIC SERVICES LLC in WASILLA, AK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family Health |
364SF0001X | 89 | Certified Clinical Nurse Specialist | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice |
| NPI Number | 1992404123 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/27/2023 | |
| Last updated | 09/02/2025 - About 9 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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