Peaceful Rehabilitation LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1395 Issued in WY

Legal business name

PEACEFUL REHABILITATION LLC

Practice address

113 S Gillette Ave
Suite 210
Gillette, WY 82716-3740

Phone

(307) 363-4720

Fax

(307) 363-4722

NPI assigned

Feb 23, 2015

Organization subpart

No

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

Authorized official

Name

Melody Lynn Carter, MS, LPC, LAT

Title

Owner

Phone

(307) 363-4720

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1871985275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 N GURLEY AVE",
            "address_2": "102",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827162299",
            "telephone_number": "307-363-4720",
            "fax_number": "307-363-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S GILLETTE AVE",
            "address_2": "SUITE 210",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163740",
            "telephone_number": "307-363-4720",
            "fax_number": "307-363-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-363-4720",
        "authorized_official_credential": "MS, LPC, LAT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WY",
            "license": "347",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "1395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob William Parmley, DO
• Cammie Paschall
• Kirtikumar L Patel, MD
• Patricia Ruth Nesbit
• Mary Nell Patterson, P.A.
• Wyatt Penfold, PHARMD
• Wendi Percifield, PCSW
• Joanna Perez, RBT
• Alicia Marie Perlenfein
• Jason Perry, NRP

• Professional Counselor in Gillette, WY
• Providers in Gillette, WY by specialty
• Professional Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.