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NPI Code Detail

MEDICARE: PEACE OF MIND COUNSELING SERVICE

MEDICARE: PEACE OF MIND COUNSELING SERVICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor0701002950VA

General Provider Information

NPI Number : 1194889311
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEACE OF MIND COUNSELING SERVICE
Provider Business Mailing Address
First Line : 210 CALHOUN ST
Second Line :
City : GALAX
State : VA
Zip : 24333-3806
Country : US
Telephone Number : 276-238-9555
Fax Number : 276-238-0155
Provider Business Practice Location Address
First Line : 210 CALHOUN ST
Second Line :
City : GALAX
State : VA
Zip : 24333-3806
Country : US
Telephone Number : 276-238-9555
Fax Number : 276-238-0155
Authorized Official
Title or Position : OWNER
Name : MS. REBECCA LYNN CHAPMAN
Credential : LPC
Telephone Number : 276-238-9555
Provider Enumeration Date : 12/21/2006
Last Update Date : 08/22/2020

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Directions to “PEACE OF MIND COUNSELING SERVICE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.