| Peace Of Mind Therapy Services | |
|
207 Boone St Suite 27 Johnson City TN 37604-5603 | |
| (423) 444-3677 | |
| (423) 244-0602 |
| Full Name | Peace Of Mind Therapy Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 207 Boone St, Johnson City, Tennessee |
| Authorized Official Name and Position | Jonathan L Hartsell (THERAPIST) |
| Authorized Official Contact | 4234443677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Of Mind Therapy Services 207 Boone St Suite 27 Johnson City TN 37604-5603 Ph: (423) 444-3677 | Peace Of Mind Therapy Services 207 Boone St Suite 27 Johnson City TN 37604-5603 Ph: (423) 444-3677 |
| NPI Number | 1265796072 |
|---|---|
| Provider Enumeration Date | 06/26/2012 |
| Last Update Date | 06/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265796072 | NPI | - | NPPES |
| 103I802362 | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5391 (Tennessee) | Primary |
| 1041C0700X | Social Worker - Clinical | 4902 (Tennessee) | Secondary |
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