Healthcare Provider Details

I. General information

NPI: 1407652878
Provider Name (Legal Business Name): PEACEFUL STEPS COUNSELING CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 MICAH LN
IRON STATION NC
28080-6709
US

IV. Provider business mailing address

135 MICAH LN
IRON STATION NC
28080-6709
US

V. Phone/Fax

Practice location:
  • Phone: 980-223-9740
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. GABRIEL FRANCISCO RUEDA
Title or Position: CLINICAL MENTAL HEALTH COUNSELOR
Credential: LCMHC
Phone: 980-223-9740