Peace of Mind Therapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

06264 Issued in IA

Legal business name

PEACE OF MIND THERAPY LLC

Practice address

112 W 1St St
Monticello, IA 52310-1519

Phone

(319) 481-7334

NPI assigned

Mar 1, 2012

Last updated

Jun 13, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miranda Sue Bohlken, LISW

Title

Sole Member

Phone

(319) 481-7334

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1013281583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W 1ST ST",
            "city": "MONTICELLO",
            "state": "IA",
            "postal_code": "523101519",
            "telephone_number": "319-481-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W 1ST ST",
            "city": "MONTICELLO",
            "state": "IA",
            "postal_code": "523101519",
            "telephone_number": "319-481-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "BOHLKEN",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "319-481-7334",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": "06264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.