Healthcare Provider Details

I. General information

NPI: 1841982949
Provider Name (Legal Business Name): PEACE OF MIND & LIFE COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2023
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

935 175TH ST
HOMEWOOD IL
60430-2049
US

IV. Provider business mailing address

935 175TH ST
HOMEWOOD IL
60430-2049
US

V. Phone/Fax

Practice location:
  • Phone: 872-215-2517
  • Fax:
Mailing address:
  • Phone: 872-215-2517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JAMEELAH BROWN-WILLIAMS
Title or Position: BEHAVIORAL HEALTH EXECUTIVE
Credential:
Phone: 312-599-3386