Organization
PEACE OF MIND TELEHEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VLADIMIR VICTOR EUGENE PA-C (MANAGING MEMBER)
(224) 900-6463
Entity
Organization
Contact information
Practice address
4539 N 22ND ST STE R, PHOENIX, AZ 85016-4639
(224) 900-6463
Mailing address
4539 N 22ND ST STE R, PHOENIX, AZ 85016-4639
(224) 900-6463
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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