Healthcare Provider Details

I. General information

NPI: 1427977511
Provider Name (Legal Business Name): PEACEFUL MINDS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 N PARK RD STE L
WYOMISSING PA
19610-2920
US

IV. Provider business mailing address

812 ELM ST
LAURELDALE PA
19605-1456
US

V. Phone/Fax

Practice location:
  • Phone: 610-396-7272
  • Fax:
Mailing address:
  • Phone: 610-945-8815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MARCIA NOLAN
Title or Position: OWNER
Credential: LPC
Phone: 610-396-7272