PEACEFUL MIND THERAPEUTIC SERVICES LLC NPI 1992404123

NPI Information

  • NPI: 1992404123
  • Provider Name: PEACEFUL MIND THERAPEUTIC SERVICES, LLC
  • Classification: Clinical Nurse Specialist - 364SF0001X
  • Specialization: Family Health
  • Entity Type: Organization
  • :
  • Address: 1051 N RAINBOW PARK DR
    WASILLA, AK
    ZIP 99623
  • Phone: (907) 376-3530

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NPI Details

PEACEFUL MIND THERAPEUTIC SERVICES, LLC is a family health clinical nurse specialist in Wasilla, AK. PEACEFUL MIND THERAPEUTIC SERVICES, LLC NPI is 1992404123. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1051 N RAINBOW PARK DR
WASILLA, AK
ZIP 99623-241
Phone: (907) 376-3530
Fax: (907) 376-3520

The provider's authorized official is Veronica R Maldonado .
The authorized official title is Owner/clinician and has the following contact phone number (907) 376-3530.

The enumeration date for this NPI number is 2/27/2023 and was last updated on 9/2/2025.

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
11041C0700XSocial WorkerClinicalNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QM1300XClinic/CenterMulti-SpecialtyNo
4363LF0000XNurse PractitionerFamilyNo
5364SF0001XClinical Nurse SpecialistFamily HealthYes

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: 11/21/2025

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