Provider Demographics
NPI:1780319046
Name:PEACE OF MIND WELLNESS, INC.
Entity type:Organization
Organization Name:PEACE OF MIND WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:774-320-4141
Mailing Address - Street 1:78 MIDDLE ST STE 1
Mailing Address - Street 2:
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-3050
Mailing Address - Country:US
Mailing Address - Phone:774-320-4141
Mailing Address - Fax:888-334-5830
Practice Address - Street 1:78 MIDDLE ST STE 1
Practice Address - Street 2:
Practice Address - City:FAIRHAVEN
Practice Address - State:MA
Practice Address - Zip Code:02719-3050
Practice Address - Country:US
Practice Address - Phone:774-320-4141
Practice Address - Fax:888-334-5830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-20
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty