Healthcare Provider Details

I. General information

NPI: 1568388791
Provider Name (Legal Business Name): DEEP PEACE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2605 BISHOP MEADE RD
BOYCE VA
22620-2339
US

IV. Provider business mailing address

2605 BISHOP MEADE RD
BOYCE VA
22620-2339
US

V. Phone/Fax

Practice location:
  • Phone: 540-514-0646
  • Fax:
Mailing address:
  • Phone: 540-514-0646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. KIMBERLY A DAVIS
Title or Position: OWNER
Credential: LPC
Phone: 540-514-0646