| Peace Of Mind Psychiatry, Pllc | |
|
110 S Sherrin Ave Louisville KY 40207-3222 | |
| (502) 548-9100 | |
| Not Available |
| Full Name | Peace Of Mind Psychiatry, Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 110 S Sherrin Ave, Louisville, Kentucky |
| Authorized Official Name and Position | Cara Netherton (CREDENTIALING AGENT) |
| Authorized Official Contact | 8592486415 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Of Mind Psychiatry, Pllc 4405 Twillingate Ln Louisville KY 40241-1400 Ph: (502) 548-9100 | Peace Of Mind Psychiatry, Pllc 110 S Sherrin Ave Louisville KY 40207-3222 Ph: (502) 548-9100 |
| NPI Number | 1265205553 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 11/19/2024 |
| Certification Date | 11/19/2024 |
| Medicare PECOS PAC ID | 0143758011 |
|---|---|
| Medicare Enrollment ID | O20250107001042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265205553 | NPI | - | NPPES |
| Provider Name | Sandra Carrie Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609311513 PECOS PAC ID: 6103108873 Enrollment ID: I20170113000853 |
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