Provider Demographics
NPI:1215751052
Name:PEACEFUL DREAMS HEALING
Entity type:Organization
Organization Name:PEACEFUL DREAMS HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CONSAVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:810-858-9920
Mailing Address - Street 1:1215 N BRIDGE ST APT 2
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:MI
Mailing Address - Zip Code:48451-8803
Mailing Address - Country:US
Mailing Address - Phone:810-858-9920
Mailing Address - Fax:
Practice Address - Street 1:1215 N BRIDGE ST APT 2
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:MI
Practice Address - Zip Code:48451-8803
Practice Address - Country:US
Practice Address - Phone:810-858-9920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-08
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty