Peaceful Mind, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LC5573 Issued in MD

Legal business name

PEACEFUL MIND, LLC

Practice address

9701 Apollo Drive
Suite 301
Largo, MD 20774-4790

Phone

(301) 455-8804

NPI assigned

Mar 6, 2014

Organization subpart

No

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

Authorized official

Name

Karlice Moss-Teams, LCPC

Title

Owner

Phone

(301) 455-8804

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1992121552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DRIVE",
            "address_2": "SUITE 301",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207744790",
            "telephone_number": "301-455-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DRIVE",
            "address_2": "SUITE 301",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207744790",
            "telephone_number": "301-455-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL MIND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "MOSS-TEAMS",
        "authorized_official_first_name": "KARLICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-455-8804",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC5573",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Largo, MD
• Providers in Largo, MD by specialty
• Counselor in Maryland

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