Organization
PEACE OF MIND THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JERMAINE GRAVES MA, LCPC, LPC (OWNER)
(240) 620-4421
Entity
Organization
Contact information
Practice address
9640 MARLBORO PIKE, UPPER MARLBORO, MD 20772-0000
(240) 620-4421
Mailing address
9901 RODIN COURT, UPPER MARLBORO, MD 20772-4802
(240) 620-4421
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC4062
MD
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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