Organization
A PEACE OF MIND COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATESHA MCINTOSH MSW, LCSW (LICENSED CLINICAL SOCIAL WORKER)
(804) 677-6958
Entity
Organization
Contact information
Practice address
7316 JACKSON ARCH DR, MECHANICSVILLE, VA 23111-4721
(804) 677-6958
(804) 677-6958
Mailing address
7316 JACKSON ARCH DR, MECHANICSVILLE, VA 23111-4721
(804) 677-6958
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C006937
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6008510
—
NC
Enumeration date
06/13/2011
Last updated
07/21/2022
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