Active NPI
Peace of Mind Therapy Services PLLC
- Clinical Social Worker
- Grand Blanc, MI
National Provider Identifier
1366080004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- PEACE OF MIND THERAPY SERVICES PLLC
- Practice address
- 8308 Office Park Dr Ste 2
Grand Blanc, MI 48439-2075 - Phone
- (810) 226-9202
- NPI assigned
- Dec 12, 2019
- 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
- Autumn Ward, LMSW
- Title
- Clinical Director
- Phone
- (810) 226-9202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
8308 Office Park Dr Ste 2
Grand Blanc, MI 48439-2075
Mailing address
8387 E Coldwater Rd
Davison, MI 48423-8966
Phone (810) 226-9202
Other names 1
- Peace of Mind Therapy Services
National Provider Directory
National Provider DirectoryLocations
8308 Office Park Dr
Ste 2
Grand Blanc, MI 48439
Phone (810) 207-3112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576454400000",
"number": "1366080004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8387 E COLDWATER RD",
"city": "DAVISON",
"state": "MI",
"postal_code": "484238966",
"telephone_number": "810-226-9202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8308 OFFICE PARK DR STE 2",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392075",
"telephone_number": "810-226-9202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACE OF MIND THERAPY SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-12",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "AUTUMN",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "810-226-9202",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Peace of Mind Therapy Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Peace of Mind Therapy Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.