MEDICARE: THE PEACE PLACE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1154253417
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE PEACE PLACE PLLC

Provider Business Mailing Address
First Line	:	2560 KING ARTHUR BLVD STE 124
Second Line	:	#2023
City	:	LEWISVILLE
State	:	TX
Zip	:	75056-5818
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 MOSS HILL DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018-4022
Country	:	US
Telephone Number	:	817-739-0859
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ARIEL SIMONE GREEN
Credential	:	LPC, MT-BC
Telephone Number	:	817-739-0859

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “THE PEACE PLACE PLLC ” Practice Location

Language	Start Address	Practice Location

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