Organization Active NPI

Peace at Last Counseling, LLC

  • Clinical Social Worker
  • Pembroke Pines, FL
National Provider Identifier
1144838269
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PEACE AT LAST COUNSELING, LLC
Practice address
9050 Pines Blvd Ste 415-401
Pembroke Pines, FL 33024-6455
Phone
(561) 406-9915
NPI assigned
Jul 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Authorized official

Name
Daniella N. Shaw, LCSW
Title
Ceo/Psychotherapist
Phone
(561) 406-9915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

9050 Pines Blvd Ste 415-401
Pembroke Pines, FL 33024-6455

Mailing address

9050 Pines Blvd Ste 415-401
Pembroke Pines, FL 33024-6455
Phone (561) 406-9915

National Provider Directory

National Provider Directory

Locations

9050 Pines Blvd
Ste 415401
Pembroke Pines, FL 33024
Phone (561) 406-9915

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1144838269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD STE 415-401",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246455",
            "telephone_number": "561-406-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD STE 415-401",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246455",
            "telephone_number": "561-406-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE AT LAST COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "DANIELLA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "CEO/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "561-406-9915",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.