Peace of Mind Therapeutic Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LC4121 Issued in MD

Legal business name

PEACE OF MIND THERAPEUTIC SERVICES, LLC

Practice address

1711 Brightwell CT
Waldorf, MD 20602-1634

Phone

(202) 580-9029

Fax

(301) 850-1121

NPI assigned

Oct 25, 2012

Last updated

Oct 25, 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

Ms. Teonna L Wallop, LCPC, LPCNPI 1548789993

Title

Therapist

Phone

(301) 850-1121

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Teonna L Wallop, LCPC

  • Mental Health Counselor
  • Waldorf, MD
  • NPI 1548789993
  NPD (past) Authorized official

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1053664110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 BRIGHTWELL CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206021634",
            "telephone_number": "202-580-9029",
            "fax_number": "301-850-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 BRIGHTWELL CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206021634",
            "telephone_number": "202-580-9029",
            "fax_number": "301-850-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "WALLOP",
        "authorized_official_first_name": "TEONNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "301-850-1121",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "LC4121",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "DC",
            "license": "PRC14226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jada S Payne
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• Peacock Physical Therapy Services LLC
• Janine Peacock, D.P.T.
• Michael Edward Pearlman, DPM
• Jessica Peck, PSYD
• Pediatric Partners of Southern Maryland, PA

• Community/Behavioral Health Agency in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.