Provider Demographics
NPI:1124842851
Name:PEACEFUL COUNSELING LLC
Entity type:Organization
Organization Name:PEACEFUL COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR TRAINEE
Authorized Official - Prefix:MS
Authorized Official - First Name:ELYSE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-744-2061
Mailing Address - Street 1:1710 KELLER PKWY # 4411
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-3749
Mailing Address - Country:US
Mailing Address - Phone:216-744-2061
Mailing Address - Fax:440-984-2097
Practice Address - Street 1:3848 W 130TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-3316
Practice Address - Country:US
Practice Address - Phone:216-744-2061
Practice Address - Fax:440-984-2097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty