Minds at Peace LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MINDS AT PEACE LLC

Practice address

150 S Warner Rd
King of Prussia, PA 19406-2826

Phone

(267) 255-4259

NPI assigned

Aug 3, 2020

Organization subpart

No

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

Authorized official

Name

Tara Kryman, LPC

Title

Owner

Phone

(267) 255-4258

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1164032371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 PLEASANT VIEW DR",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195189267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S WARNER RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062826",
            "telephone_number": "267-255-4259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDS AT PEACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "KRYMAN",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-255-4258",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tiffany Lynn Minnich
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• Professional Counselor in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.