| Peace Of Mind Counseling, Pllc | |
|
2718 Gateway Ave Ste 104 Bismarck ND 58503-0585 | |
| (701) 202-5908 | |
| Not Available |
| Full Name | Peace Of Mind Counseling, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2718 Gateway Ave Ste 104, Bismarck, North Dakota |
| Authorized Official Name and Position | Amanda Lynn Langan (MENTAL HEALTH COUNSELOR/ OWNER) |
| Authorized Official Contact | 7012025908 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Of Mind Counseling, Pllc 2718 Gateway Ave Ste 104 Bismarck ND 58503-0585 Ph: (701) 202-5908 | Peace Of Mind Counseling, Pllc 2718 Gateway Ave Ste 104 Bismarck ND 58503-0585 Ph: (701) 202-5908 |
| NPI Number | 1922636323 |
|---|---|
| Provider Enumeration Date | 03/31/2020 |
| Last Update Date | 04/01/2021 |
| Certification Date | 04/01/2021 |
| Medicare PECOS PAC ID | 7517404221 |
|---|---|
| Medicare Enrollment ID | O20240730004678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922636323 | NPI | - | NPPES |
| 1468750 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Amanda Lynn Langan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174076756 PECOS PAC ID: 8426595133 Enrollment ID: I20240730004685 |
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