Healthcare Provider Details

I. General information

NPI: 1184191769
Provider Name (Legal Business Name): PEACE OF MIND WELLNESS & FAMILY COUNSELING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2018
Last Update Date: 12/21/2023
Certification Date: 12/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 S PIERCE ST STE 2
BURNET TX
78611-3112
US

IV. Provider business mailing address

171 PAINTBRUSH LN
BURNET TX
78611-2066
US

V. Phone/Fax

Practice location:
  • Phone: 866-766-4835
  • Fax: 949-264-2851
Mailing address:
  • Phone: 714-809-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH RAINWATER
Title or Position: THERAPIST/CEO
Credential: LMFT, MAC, LAADC
Phone: 714-367-4822