Provider Demographics
NPI:1205669900
Name:PIECE OF MIND, LLC
Entity type:Organization
Organization Name:PIECE OF MIND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RILYNN
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:BAZILE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-210-4502
Mailing Address - Street 1:PO BOX 1241
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70707-1241
Mailing Address - Country:US
Mailing Address - Phone:225-210-4502
Mailing Address - Fax:
Practice Address - Street 1:7157 PANAMA CANAL DR
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-8648
Practice Address - Country:US
Practice Address - Phone:225-331-0156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)