Peaceful Surroundings

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PEACEFUL SURROUNDINGS

Practice address

14655 Gratiot Ave
Detroit, MI 48205-1925

Phone

(313) 458-8268

Fax

(313) 821-4421

NPI assigned

Jul 20, 2021

Organization subpart

No

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

Authorized official

Name

Blanche White

Title

Director

Phone

(313) 729-4547

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1225601032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14651 GRATIOT",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482052707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14655 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051925",
            "telephone_number": "313-458-8268",
            "fax_number": "313-821-4421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13560 E McNichols Rd Ste 142D",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482053426",
            "country_code": "US",
            "telephone_number": "313-458-8268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEACEFUL SURROUNDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BLANCHE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-729-4547"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Peaceful Hearts Adult Day Care 2
• Peaceful Hearts Adult Day Treatment LLC
• Peacefullhavensllc
• Peaceway Counseling Center
• Brennan Peacock
• Jennifer Peacock, M.A., CCC-SLP
• Kingsley Peacock

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.