PEACEFUL PERSONAL GROWTH PROGRAM INC. NPI 1518083880

NPI Information

NPI: 1518083880
Provider Name: PEACEFUL PERSONAL GROWTH PROGRAM INC.
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
436 STATE ST
MARION, NC
ZIP 28752
Phone: (828) 442-5015
Get Directions

PEACEFUL PERSONAL GROWTH PROGRAM INC. is an addiction (substance use disorder) counselor in Marion, NC. PEACEFUL PERSONAL GROWTH PROGRAM INC. NPI is 1518083880. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

436 STATE ST
MARION, NC
ZIP 28752-029
Phone: (828) 442-5015
Fax: (828) 665-4354

The provider's authorized official is Sarah Ann Wells .
The authorized official title is Owner Director and has the following contact phone number (828) 442-5015.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 8/22/2020.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	PC0009	NORTH CAROLINA	Yes
2	101YM0800X	Counselor	Mental Health	PC0009	NORTH CAROLINA	X
3	1041C0700X	Social Worker	Clinical	PC0009	NORTH CAROLINA	X

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	6005093	MEDICAID	NORTH CAROLINA
2	011E4	OTHER	NORTH CAROLINA	BCBSNC GROUP PROVIDER NUM

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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