Peaceful Solutions Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PEACEFUL SOLUTIONS THERAPY, LLC

Practice address

460 Briarwood Dr # 400-52
Jackson, MS 39206-3051

Phone

(601) 596-2625

NPI assigned

Mar 5, 2021

Organization subpart

No

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

Authorized official

Name

Kyndel Marie Lindsey, LCSW

Title

LCSW/ Owner

Phone

(601) 596-2625

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1831784453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W GOVERNMENT ST STE E",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422420",
            "telephone_number": "769-234-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 BRIARWOOD DR # 400-52",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063051",
            "telephone_number": "601-596-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL SOLUTIONS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-05",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "LINDSEY",
        "authorized_official_first_name": "KYNDEL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LCSW/ OWNER",
        "authorized_official_telephone_number": "601-596-2625",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09283279",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raven Payton
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• Shameen Peacock, M.ED., LPC
• Peak Chiropractic Care, LLC
• Lauren Bartling Pearce, CPNP-AC
• Cameron Pearson
• Sherhonda L Pearson, PCMHT

• Clinical Social Worker in Jackson, MS
• Providers in Jackson, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.