Healthcare Provider Details

I. General information

NPI: 1568246155
Provider Name (Legal Business Name): PEACEFUL PLACES COUNSELING & WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2023
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 CABARRUS AVE W
CONCORD NC
28025-5150
US

IV. Provider business mailing address

140 CABARRUS AVE W
CONCORD NC
28025-5150
US

V. Phone/Fax

Practice location:
  • Phone: 704-492-0009
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY HOOKER
Title or Position: OWNER
Credential: LCMHC
Phone: 704-492-0009