Active NPI
Mind Peace LLC
- Professional Counselor
- Woodstock, GA
National Provider Identifier
1265349930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- MIND PEACE LLC
- Practice address
- 100 Churchill CT Ste 105
Woodstock, GA 30188-6882 - Phone
- (404) 793-4404
- NPI assigned
- Aug 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dominique Danielle Hill, LPC
- Title
- Licensed Professional Counselor
- Phone
- (817) 235-2335
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
100 Churchill CT Ste 105
Woodstock, GA 30188-6882
Mailing address
1060 Banner SQ
Powder Springs, GA 30127-4944
Phone (817) 235-2335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787702400000",
"number": "1265349930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 BANNER SQ",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301274944",
"telephone_number": "817-235-2335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CHURCHILL CT STE 105",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301886882",
"telephone_number": "404-793-4404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND PEACE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "DOMINIQUE",
"authorized_official_middle_name": "DANIELLE",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "817-235-2335",
"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": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.