Healthcare Provider Details

I. General information

NPI: 1871418954
Provider Name (Legal Business Name): PEACEFUL MIND COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 BALDWIN PL
BLOOMFIELD NJ
07003-6011
US

IV. Provider business mailing address

76 BALDWIN PL
BLOOMFIELD NJ
07003-6011
US

V. Phone/Fax

Practice location:
  • Phone: 973-289-1820
  • Fax:
Mailing address:
  • Phone: 973-289-1820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. VIVIAN ARROYO
Title or Position: FOUNDER
Credential: LSW, LCADC
Phone: 973-289-1820