Organization
PEACE OF MIND THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TEONNA L WALLOP LCPC, LPC (THERAPIST)
(301) 850-1121
Entity
Organization
Contact information
Practice address
1711 BRIGHTWELL CT, WALDORF, MD 20602-1634
(202) 580-9029
(301) 850-1121
Mailing address
1711 BRIGHTWELL CT, WALDORF, MD 20602-1634
(202) 580-9029
(301) 850-1121
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LC4121
MD
251S00000X
Community/Behavioral Health Agency
PRC14226
DC
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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