Healthcare Provider Details

I. General information

NPI: 1558270686
Provider Name (Legal Business Name): PEACEFUL MIND PSYCHIATRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3281 MOUNTAINVIEW PL STE B
MERIDIAN MS
39301-9772
US

IV. Provider business mailing address

3281 MOUNTAINVIEW PL STE B
MERIDIAN MS
39301-9772
US

V. Phone/Fax

Practice location:
  • Phone: 601-701-5609
  • Fax: 601-621-4661
Mailing address:
  • Phone: 601-701-5609
  • Fax: 601-621-4661

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: STEPHANIE CRESHELL RUFFIN
Title or Position: PROVIDER
Credential: PMHNP
Phone: 601-701-5609