| Peace Of Mind, Llc | |
|
2484 S Business 31 Suite C Peru IN 46970-7312 | |
| (765) 472-2722 | |
| (765) 472-2722 |
| Full Name | Peace Of Mind, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2484 S Business 31, Peru, Indiana |
| Authorized Official Name and Position | Katina Ann Everding (OWNER) |
| Authorized Official Contact | 7654722722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Of Mind, Llc 2484 S Business 31 Suite C Peru IN 46970-7312 Ph: (765) 472-2722 | Peace Of Mind, Llc 2484 S Business 31 Suite C Peru IN 46970-7312 Ph: (765) 472-2722 |
| NPI Number | 1689046211 |
|---|---|
| Provider Enumeration Date | 10/22/2015 |
| Last Update Date | 04/28/2017 |
| Medicare PECOS PAC ID | 1951687367 |
|---|---|
| Medicare Enrollment ID | O20170420000574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689046211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Katina A Everding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538314356 PECOS PAC ID: 4880757137 Enrollment ID: I20090113000108 |
| Provider Name | Barbara A Gibbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346824729 PECOS PAC ID: 5890197214 Enrollment ID: I20210708000232 |
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