Healthcare Provider Details

I. General information

NPI: 1376088096
Provider Name (Legal Business Name): PEACE-FILLED MENTAL HEALTH COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2017
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 COURT ST STE 600
BROOKLYN NY
11242-1106
US

IV. Provider business mailing address

26 COURT ST STE 600
BROOKLYN NY
11242-1106
US

V. Phone/Fax

Practice location:
  • Phone: 718-869-1054
  • Fax:
Mailing address:
  • Phone: 718-869-1054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number004410-1
License Number StateNY

VIII. Authorized Official

Name: KEISHA JEANNINE SANDO
Title or Position: OWNER
Credential: LMHC
Phone: 718-869-1054