PEACE OBETA NPI 1942786314

NPI Information

NPI: 1942786314
Provider Name: PEACE OBETA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2310 NW 3RD ST
GRAND RAPIDS, MN
ZIP 55744
Phone: (218) 327-2001
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Peace Obeta is a mental health counselor in Grand Rapids, MN. Peace Obeta NPI is 1942786314. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2310 NW 3RD ST
GRAND RAPIDS, MN
ZIP 55744-135
Phone: (218) 327-2001

The enumeration date for this NPI number is 7/18/2018 and was last updated on 10/13/2022.

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	101YM0800X	Counselor	Mental Health		OKLAHOMA	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	200013070A	MEDICAID	OKLAHOMA

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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