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Contact Information

PEACE PSYCHOLOGY CENTER PLLC
1723 E SOUTHLAKE BLVD STE 200
SOUTHLAKE, TX76092-6445
 Phone: 817-917-7348
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Counselor

101Y00000X
 

Family

103TF0000X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
 

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PEACE PSYCHOLOGY CENTER PLLC

NPI # 1295310001
LBN Legal business name PEACE PSYCHOLOGY CENTER PLLC
Authorized official KATE STARK - (MANAGER AND LICENSED PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/12/2021
Last updated 09/03/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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