Healthcare Provider Details
I. General information
NPI: 1891664603
Provider Name (Legal Business Name): PEACE OF MIND MENTAL HEALTH GROUP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/30/2025
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
313 W LIBERTY ST STE 237
LANCASTER PA
17603-2792
US
IV. Provider business mailing address
313 W LIBERTY ST STE 237
LANCASTER PA
17603-2792
US
V. Phone/Fax
- Phone: 717-615-1013
- Fax: 717-615-1013
- Phone: 717-615-1013
- Fax: 717-615-1013
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | NULL |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 175T00000X |
| Taxonomy | Peer Specialist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: MS.
SARA
GOWIN
Title or Position: OWNER/FOUNDER
Credential: RN
Phone: 717-615-1013