Peaceful Mental Health Asociate, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH10369 Issued in FL

Legal business name

PEACEFUL MENTAL HEALTH ASOCIATE, LLC

Practice address

105 South 9TH Ave.
Wauchula, FL 33873

Phone

(863) 773-0002

Fax

(863) 773-6389

NPI assigned

Apr 30, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Sarah Elizabeth Johnson, MS.,LMHC

Title

Owner

Phone

(863) 773-0002

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1386902252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SOUTH 9TH AVE.",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "33873",
            "telephone_number": "863-773-0002",
            "fax_number": "863-773-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SOUTH 9TH AVE.",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "33873",
            "telephone_number": "863-773-0002",
            "fax_number": "863-773-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL MENTAL HEALTH ASOCIATE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-773-0002",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS.,LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• One Hope United
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• Ramces Santiago Pasion
• Rakesh P Patel
• Peace River Center for Personal Development Inc
• Alida Pena Gonzalez, ARNP
• Jamise Perry, CRDH
• John Algren Pettit, O.D.
• Alexander Pieretti, PA-C
• Edwin Cary Pigman

• Mental Health Counselor in Wauchula, FL
• Providers in Wauchula, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.