Organization Active NPI

Peace of Selves Holistic Counseling and Therapeutic Services LLC

  • Marriage & Family Therapist
  • Brawley, CA
National Provider Identifier
1902604671
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
PEACE OF SELVES HOLISTIC COUNSELING AND THERAPEUTIC SERVICES LLC
Practice address
507 Willard Ave
Brawley, CA 92227-3048
Phone
(619) 916-6283
NPI assigned
Mar 6, 2025
Last updated
Mar 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Grace Catherine Mickle, LMFTNPI 1750932414
Title
Ceo
Phone
(619) 916-6283

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

507 Willard Ave
Brawley, CA 92227-3048

Mailing address

507 Willard Ave
Brawley, CA 92227-3048
Phone (619) 916-6283

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1902604671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 WILLARD AVE",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922273048",
            "telephone_number": "619-916-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 WILLARD AVE",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922273048",
            "telephone_number": "619-916-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF SELVES HOLISTIC COUNSELING AND THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "MICKLE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-916-6283",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brawley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.