MEDICARE: ART OF PEACE COUNSELING & WELLNESS

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1750067419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ART OF PEACE COUNSELING & WELLNESS

Provider Business Mailing Address
First Line	:	1866 JIM REDMAN PKWY # 1044
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-6914
Country	:	US
Telephone Number	:	813-563-1339
Fax Number	:

Provider Business Practice Location Address
First Line	:	3820 BEECHWOOD BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-1223
Country	:	US
Telephone Number	:	813-563-1339
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TYRHONDA BALDWIN
Credential	:	LCSW
Telephone Number	:	813-563-1339

Provider Enumeration Date	:	06/26/2023
Last Update Date	:	06/26/2023

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