Organization
PEACE OF MIND THERAPEUTIC SERVICES & SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONICE EDWARDS (MANAGER)
(301) 547-9341
Entity
Organization
Contact information
Practice address
319 W PATRICK ST, FREDERICK, MD 21701-4855
(240) 823-4827
(443) 331-4441
Mailing address
3831 S MOUNTAIN RD, KNOXVILLE, MD 21758-9606
(240) 823-4827
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6019
LICENSE
MD
Enumeration date
01/02/2022
Last updated
01/02/2022
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