=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629340179
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A PEACE OF MIND COUNSELING PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/30/2012
-----------------------------------------------------
Last Update Date | 12/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5135 MORGANTON RD STE 103
-----------------------------------------------------
City | FAYETTEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28314-1525
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-423-9900
-----------------------------------------------------
Fax | 910-423-0537
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5135 MORGANTON RD STE 103
-----------------------------------------------------
City | FAYETTEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28314-1525
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-423-9900
-----------------------------------------------------
Fax | 910-423-0537
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PSYCHOTHERAPIST/OWNER
-----------------------------------------------------
Name | MRS. LAURA DANIEL LAWYER
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 910-423-9900
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | C004483
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------