Peaceful Pathways Mental Health Agency, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PEACEFUL PATHWAYS MENTAL HEALTH AGENCY, LLC

Practice address

1163 E Atlantic St Ste B
South Hill, VA 23970-9547

Phone

(919) 671-1652

NPI assigned

Sep 29, 2025

Organization subpart

No

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

Authorized official

Name

Lakisha ShearinNPI 1174309660

Title

Ceo

Phone

(919) 671-1652

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lakisha Marie Shearin

  • Clinical Social Worker
  • Wake Forest, NC
  • NPI 1174309660
  NPD Authorized official

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

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1679446389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10221 KRAUSE RD UNIT 1495",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238321260",
            "telephone_number": "919-671-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 E ATLANTIC ST STE B",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239709547",
            "telephone_number": "919-671-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL PATHWAYS MENTAL HEALTH AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-28",
        "status": "A",
        "authorized_official_last_name": "SHEARIN",
        "authorized_official_first_name": "LAKISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-671-1652"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Pacheco, DPT
• Teresa Davis Parham, FNP
• Latonya Parker, BA/ QMHP-A/C
• Irene Parrish, CNP
• Benjamin Lawrence Pastwik, MD
• John Pearson, MD
• Personal Footcare LLC
• Personal Homecare Inc
• Personal Homecare Inc
• Robert Phillips, LPN

• Mental Health Clinic/Center (Including Community Mental Health Center) in South Hill, VA
• Providers in South Hill, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.