# PEACE OF MIND--BEACHSIDE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beachside
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063919637
- **Authorized official:** MELISSA GAD APRN (MANAGER)
- **Authorized official phone:** (386) 262-5197

## Contact information

- **Practice address:** 198 VINING CT \# 5, ORMOND BEACH, FL 32176-6658
- **Practice address phone:** (386) 256-5553
- **Practice address fax:** (386) 256-5553
- **Mailing address:** 198 VINING CT \# 5, ORMOND BEACH, FL 32176-6658
- **Mailing address phone:** (386) 256-5553
- **Mailing address fax:** (386) 256-5553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | ARNP9355262 | FL | Yes |

## Other

- **Enumeration date:** 04/10/2018
- **Last updated:** 04/10/2018
