Healthcare Provider Details

I. General information

NPI: 1194258376
Provider Name (Legal Business Name): A PEACE OF MIND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1326 S GOVERNORS AVE STE C
DOVER DE
19904-4800
US

IV. Provider business mailing address

1326 S GOVERNORS AVE STE C
DOVER DE
19904-4800
US

V. Phone/Fax

Practice location:
  • Phone: 302-674-3168
  • Fax: 302-736-1280
Mailing address:
  • Phone: 302-674-3168
  • Fax: 302-736-1280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number2017602789
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2017602789
License Number StateDE

VIII. Authorized Official

Name: GWYNN A STUP
Title or Position: OWNER
Credential: APRN-CNP
Phone: 302-674-3168