Peace of Mind Wellness Center, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

1550AD444001 Issued in FL

Legal business name

PEACE OF MIND WELLNESS CENTER, LLC

Practice address

12785 Forest Hill Blvd
Suite 8C
Wellington, FL 33414-4777

Phone

(561) 328-9870

NPI assigned

Mar 7, 2013

Organization subpart

No

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

Authorized official

Name

Maritsa Yzaguirre, LMHC

Title

Ceo

Phone

(561) 758-0574

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1396086880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12785 FOREST HILL BLVD",
            "address_2": "SUITE 8C",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144777",
            "telephone_number": "561-328-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12785 FOREST HILL BLVD",
            "address_2": "SUITE 8C",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144777",
            "telephone_number": "561-328-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "YZAGUIRRE",
        "authorized_official_first_name": "MARITSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-758-0574",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "1550AD444001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Wellington, FL
• Providers in Wellington, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.