Provider Demographics
NPI:1104575596
Name:PEACE OF MIND COUNSELING SERVICES
Entity type:Organization
Organization Name:PEACE OF MIND COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CHALET
Authorized Official - Middle Name:THERESE
Authorized Official - Last Name:DEWEY-FLINT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R
Authorized Official - Phone:315-593-4847
Mailing Address - Street 1:170 W 1ST ST S
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:NY
Mailing Address - Zip Code:13069-2231
Mailing Address - Country:US
Mailing Address - Phone:315-593-4847
Mailing Address - Fax:315-752-0993
Practice Address - Street 1:170 W 1ST ST S
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:NY
Practice Address - Zip Code:13069-2231
Practice Address - Country:US
Practice Address - Phone:315-593-4847
Practice Address - Fax:315-752-0993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty