Healthcare Provider Details

I. General information

NPI: 1538093976
Provider Name (Legal Business Name): MENTAL PEACE WELLNESS. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

274 GRANDE VIEW PKWY
ALABASTER AL
35114-6073
US

IV. Provider business mailing address

274 GRANDE VIEW PKWY
ALABASTER AL
35114-6073
US

V. Phone/Fax

Practice location:
  • Phone: 205-451-5995
  • Fax: 205-451-5995
Mailing address:
  • Phone: 205-451-5995
  • Fax: 205-451-5995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. KATHERINE KIRIGO THEURI
Title or Position: CRNP
Credential: NP
Phone: 205-451-5995