| Peace River Center For Personal Development Inc | |
|
213 E Orange St Wauchula FL 33873-2934 | |
| (863) 519-0575 | |
| (863) 582-9251 |
| Full Name | Peace River Center For Personal Development Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 213 E Orange St, Wauchula, Florida |
| Authorized Official Name and Position | Jo Deck (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8635190575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace River Center For Personal Development Inc Po Box 1559 Bartow FL 33831-1559 Ph: (863) 519-0575 | Peace River Center For Personal Development Inc 213 E Orange St Wauchula FL 33873-2934 Ph: (863) 519-0575 |
| NPI Number | 1184370504 |
|---|---|
| Provider Enumeration Date | 02/24/2022 |
| Last Update Date | 02/24/2022 |
| Certification Date | 02/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184370504 | NPI | - | NPPES |
| 060310421 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Peaceful Mental Health Asociate, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 South 9th Ave., Wauchula, FL 33873 Phone: 863-773-0002 Fax: 863-773-6389 | |
One Hope United Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 E Main St Ste 106, Wauchula, FL 33873 Phone: 863-385-1009 | |
Soulstice Therapeutic Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 W Main St Ste 121, Wauchula, FL 33873 Phone: 863-773-6573 |