Healthcare Provider Details
I. General information
NPI: 1073444329
Provider Name (Legal Business Name): PEACE OF MIND DELAWARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
88 EMERALD RIDGE DR
BEAR DE
19701-2273
US
IV. Provider business mailing address
254 CHAPMAN RD STE 208 PMB 23080
NEWARK DE
19702
US
V. Phone/Fax
- Phone: 302-496-7763
- Fax:
- Phone: 302-496-7763
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
STEPHANIE
MAIGNAN FEQUIERE
Title or Position: MANAGING MEMBER
Credential: PMHNP
Phone: 267-338-8636