Provider Demographics
NPI:1902111065
Name:PEACE OF MIND MENTAL HEALTH COUNSELING, P.C.
Entity Type:Organization
Organization Name:PEACE OF MIND MENTAL HEALTH COUNSELING, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/PRESIDENT OF THE
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERYL
Authorized Official - Middle Name:LAUREN
Authorized Official - Last Name:RINELLI
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:631-588-4670
Mailing Address - Street 1:111 SMITHTOWN BYPASS
Mailing Address - Street 2:SUITE 115
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788
Mailing Address - Country:US
Mailing Address - Phone:631-588-4670
Mailing Address - Fax:631-585-1276
Practice Address - Street 1:111 SMITHTOWN BYPASS
Practice Address - Street 2:SUITE 115
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788
Practice Address - Country:US
Practice Address - Phone:631-588-4670
Practice Address - Fax:631-585-1276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-13
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty