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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 Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Psychiatric/Mental Health, Child & Family

364SP0810X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for MY PEACE KEEPER INC

NPI # 1679802631
LBN Legal business name MY PEACE KEEPER INC
Authorized official VIRGINIA POUGH - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/21/2009
Last updated 12/21/2009 - About 16 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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