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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 Specialty Code Provider Type

Specialist

174400000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Health

364SF0001X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for PEACEFUL MIND THERAPEUTIC SERVICES

NPI # 1023805892
LBN Legal business name PEACEFUL MIND THERAPEUTIC SERVICES
Authorized official VERONICA MALDONADO - (OWNER/CLINICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2025
Last updated 07/21/2025 - About 11 months 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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