MEDICARE: GUIDED PEACE COUNSELING

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
1	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1316721905
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUIDED PEACE COUNSELING

Provider Business Mailing Address
First Line	:	399 GLENDOLA AVE NW
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44483-1248
Country	:	US
Telephone Number	:	330-980-3734
Fax Number	:

Provider Business Practice Location Address
First Line	:	399 GLENDOLA AVE NW
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44483-1248
Country	:	US
Telephone Number	:	330-980-3734
Fax Number	:

Authorized Official
Title or Position	:	COUNSELOR
Name	:	MARIA MEADOWS
Credential	:	LPCC-S
Telephone Number	:	330-980-3734

Provider Enumeration Date	:	08/23/2023
Last Update Date	:	08/23/2023

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Directions to “GUIDED PEACE COUNSELING ” Practice Location

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