National Provider Identifier Database

PEACEFUL MIND THERAPEUTIC SERVICES
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

PEACEFUL MIND THERAPEUTIC SERVICES
1051 N RAINBOW PARK DR
WASILLA, AK99623-9241
Phone: 907-376-3530
Fax: 907-376-3520
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Clinical 1041C0700X
Family 363LF0000X
Family Health 364SF0001X

* Indicates primary specialty

NPI Profile & details for PEACEFUL MIND THERAPEUTIC SERVICES

NPI Number 1023805892
Legal business name
LBN
PEACEFUL MIND THERAPEUTIC SERVICES
Authorized official VERONICA MALDONADO - (OWNER/CLINICIAN)
Entity Organization
Organization subpart No
Enumeration date 04/23/2025
Last updated 07/21/2025 - About 11 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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