Inner Peace, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

INNER PEACE, LLC

Practice address

400 Southlake Blvd Ste J
North Chesterfield, VA 23236-3061

Phone

(804) 584-6148

Fax

(888) 744-2432

NPI assigned

Apr 25, 2022

Last updated

Jul 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Shawlawn Lynette Freeman-Hicks, PMHNP-BCNPI 1598305906

Title

Psychiatric Nurse Practitioner

Phone

(804) 944-5057

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, and the practitioner matching its NPPES authorized official.

• Shawlawn Freeman-Hicks, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Chesterfield, VA
  • NPI 1598305906
  NPD Authorized official

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1922742998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SANDLER CT",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232356368",
            "telephone_number": "804-944-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SOUTHLAKE BLVD STE J",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363061",
            "telephone_number": "804-584-6148",
            "fax_number": "888-744-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER PEACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "FREEMAN-HICKS",
        "authorized_official_first_name": "SHAWLAWN",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "804-944-5057",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.