Healthcare Provider Details

I. General information

NPI: 1053996231
Provider Name (Legal Business Name): PEACE OF MIND MENTAL HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2021
Last Update Date: 08/04/2025
Certification Date: 01/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4410 E CLAIBORNE SQUARE SUITE 334
HAMPTON VA
23666
US

IV. Provider business mailing address

4410 E CLAIBORNE SQUARE SUITE 334
HAMPTON VA
23666
US

V. Phone/Fax

Practice location:
  • Phone: 757-960-3121
  • Fax: 757-665-2962
Mailing address:
  • Phone: 757-960-3121
  • Fax: 757-665-2962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KRYSTAL THOMPSON
Title or Position: CEO
Credential: LPC
Phone: 757-960-3121