Peace Power & Purpose

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

PEACE POWER & PURPOSE

Practice address

10709 Glenluce Ave
Charlotte, NC 28213-4239

Phone

(704) 264-7769

NPI assigned

Oct 20, 2017

Organization subpart

No

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

Authorized official

Name

Keonna Symone Teasley

Title

Co-Founder

Phone

(704) 264-7769

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519430400000",
    "number": "1376054064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10709 GLENLUCE AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134239",
            "telephone_number": "704-264-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10709 GLENLUCE AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134239",
            "telephone_number": "704-264-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE POWER & PURPOSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-20",
        "last_updated": "2018-02-24",
        "status": "A",
        "authorized_official_last_name": "TEASLEY",
        "authorized_official_first_name": "KEONNA",
        "authorized_official_middle_name": "SYMONE",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "704-264-7769"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2018; 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.