Healthcare Provider Details

I. General information

NPI: 1619839511
Provider Name (Legal Business Name): ORGANIZED PEACE OF MIND (OPOM) WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 E MARKET ST STE 103
YORK PA
17401-1205
US

IV. Provider business mailing address

7 E MARKET ST STE 103
YORK PA
17401-1205
US

V. Phone/Fax

Practice location:
  • Phone: 717-688-6568
  • 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
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KIARA-BREIA LOUISE HICKS-LYLES
Title or Position: OWNER
Credential: CRNP, PMHNP-BC
Phone: 717-688-6568