Provider Demographics
NPI:1861759276
Name:PEACE OF MIND COUNSELING, INC.
Entity type:Organization
Organization Name:PEACE OF MIND COUNSELING, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORDERO-WALTON
Authorized Official - Suffix:
Authorized Official - Credentials:MA LMHC
Authorized Official - Phone:508-832-5800
Mailing Address - Street 1:15 MIDSTATE DR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-1856
Mailing Address - Country:US
Mailing Address - Phone:508-832-5800
Mailing Address - Fax:508-832-5899
Practice Address - Street 1:15 MIDSTATE DR
Practice Address - Street 2:SUITE 206
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-1856
Practice Address - Country:US
Practice Address - Phone:508-832-5800
Practice Address - Fax:508-832-5899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-23
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6191101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty