Healthcare Provider Details

I. General information

NPI: 1689511131
Provider Name (Legal Business Name): A PEACEFUL PLACE COMMUNITY HEALTH ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 S BRADFORD ST STE 8
DOVER DE
19904-4153
US

IV. Provider business mailing address

1001 S BRADFORD ST STE 8
DOVER DE
19904-4153
US

V. Phone/Fax

Practice location:
  • Phone: 302-270-9723
  • Fax:
Mailing address:
  • Phone: 302-270-9723
  • Fax:

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: ERICKA TAYLOR-DANIEL
Title or Position: CEO
Credential: APRN
Phone: 302-270-9723