MEDICARE: PEACE COUNSELING CENTER

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1205687233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEACE COUNSELING CENTER

Provider Business Mailing Address
First Line	:	190 TOWNSITE PROMENADE
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93010-7582
Country	:	US
Telephone Number	:	805-312-0777
Fax Number	:

Provider Business Practice Location Address
First Line	:	190 TOWNSITE PROMENADE
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93010-7582
Country	:	US
Telephone Number	:	805-312-0777
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. CRYSTAL JEANINE CUMMINGS
Credential	:	LMFT
Telephone Number	:	805-312-0777

Provider Enumeration Date	:	03/28/2024
Last Update Date	:	09/02/2025

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Directions to “PEACE COUNSELING CENTER ” Practice Location

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