PEACE WITHIN NPI 1003385386

NPI Information

NPI: 1003385386
Provider Name: PEACE WITHIN
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
5904 S. COOPER STE. 104 - PMB 162
ARLINGTON, TX
ZIP 76017
Phone: (682) 331-2685
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PEACE WITHIN is a professional counselor in Arlington, TX. PEACE WITHIN NPI is 1003385386. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5904 S. COOPER STE. 104 - PMB 162
ARLINGTON, TX
ZIP 76017
Phone: (682) 331-2685
Fax: (682) 204-6648

The provider's authorized official is Sharon J Durham .
The authorized official title is Licensed Professional Counselor and has the following contact phone number (682) 331-2685.

The enumeration date for this NPI number is 11/16/2018 and was last updated on 11/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3635153-01	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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