MEDICARE: PEACE LEADERS FOUNDATION INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YS0200X	School Counselor
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	251S00000X	Community/Behavioral Health Agency
4	103TH0004X	Health Psychologist
5	103TF0000X	Family Psychologist
6	103TB0200X	Cognitive & Behavioral Psychologist
7	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1356043095
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEACE LEADERS FOUNDATION INC

Provider Business Mailing Address
First Line	:	526 NW 7TH ST
Second Line	:
City	:	DANIA BEACH
State	:	FL
Zip	:	33004-2305
Country	:	US
Telephone Number	:	754-275-8842
Fax Number	:

Provider Business Practice Location Address
First Line	:	6651 SW 45TH ST
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33314-3341
Country	:	US
Telephone Number	:	754-275-8842
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. ALIDA CORTES
Credential	:
Telephone Number	:	786-643-3686

Provider Enumeration Date	:	03/20/2023
Last Update Date	:	05/07/2026

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Directions to “PEACE LEADERS FOUNDATION INC ” Practice Location

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