Organization Active NPI

Peace of Mind Therapy Services PLLC

  • Clinical Social Worker
  • Grand Blanc, MI
National Provider Identifier
1366080004
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Dec 16, 2019

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.