Organization
PEACH MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDITH STANFORD (OWNER)
(302) 257-9720
Entity
Organization
Contact information
Practice address
34 SPRING WAY, CAMDEN WYOMING, DE 19934-4224
(302) 257-9420
Mailing address
34 SPRING WAY, CAMDEN WYOMING, DE 19934-4224
(302) 257-9420
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250695513
—
DE
Enumeration date
09/17/2024
Last updated
07/30/2025
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