Peaceway Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

34004749A Issued in IN

Legal business name

PEACEWAY COUNSELING LLC

Practice address

1627 N State St
North Vernon, IN 47265-7479

Phone

(812) 592-6795

Fax

(866) 317-2845

NPI assigned

Dec 4, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Sherry Danae Beal, L.C.S.W.

Title

Owner

Phone

(812) 592-6795

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1174868087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 NORTH STATE STREET",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "47265",
            "telephone_number": "812-592-6795",
            "fax_number": "866-317-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 N STATE ST",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472657479",
            "telephone_number": "812-592-6795",
            "fax_number": "866-317-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEWAY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "DANAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-592-6795",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "34004749A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in North Vernon, IN
• Providers in North Vernon, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.