National Provider Identifier Database

MY PEACE KEEPER INC
Family


Contact Information

MY PEACE KEEPER INC
7504 E INDEPENDENCE BLVD STE 101
CHARLOTTE, NC28227-9407
Phone: 704-531-5656
Fax: 704-531-9711
Website:
Specialty Taxonomy Code
* Family 363LF0000X
Psychiatric/Mental Health, Child & Family 364SP0810X

* Indicates primary specialty

NPI Profile & details for MY PEACE KEEPER INC

NPI Number 1679802631
Legal business name
LBN
MY PEACE KEEPER INC
Authorized official VIRGINIA POUGH - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 12/21/2009
Last updated 12/21/2009 - About 16 years 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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