Peace of Mind, Body, and Spirit PA

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PEACE OF MIND, BODY, AND SPIRIT PA

Practice address

1631 Kara CT
Fayetteville, NC 28304-2052

Phone

(910) 583-3693

NPI assigned

Aug 31, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Adrienne Owens Monroe, PHD, LCSW,SWS, QS

Title

Ceo

Phone

(910) 583-3693

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adrienne Lynette Monroe, MSW, LCSW

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1619003852
  NPD

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1871261297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 KARA CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042052",
            "telephone_number": "910-583-3693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 KARA CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042052",
            "telephone_number": "910-583-3693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND, BODY, AND SPIRIT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-28",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "OWENS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-583-3693",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW,SWS, QS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chydonnia T Payton
• Teresita Daniela Paz, LCSWA
• PBL Healthcare PA
• PD Homecare Agency, Inc.
• Cali Kristy Pea, FNP-C
• Peacehouse Living Facilities
• Penny Lewis Peacock, PHARM.D.
• Pearls Angel Care Inc
• Pearls Angel Care Inc
• Pearls Angel Care Inc

• Community/Behavioral Health Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.