Provider Demographics
NPI:1225823602
Name:PEACEFUL HEALING, LLC
Entity type:Organization
Organization Name:PEACEFUL HEALING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:RHOADS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:417-414-0869
Mailing Address - Street 1:231 S BEMISTON AVE
Mailing Address - Street 2:STE 850 # 560474
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63105
Mailing Address - Country:US
Mailing Address - Phone:417-414-0869
Mailing Address - Fax:
Practice Address - Street 1:500 N GRANT ST
Practice Address - Street 2:
Practice Address - City:ORONOGO
Practice Address - State:MO
Practice Address - Zip Code:64855-9423
Practice Address - Country:US
Practice Address - Phone:417-414-0869
Practice Address - Fax:417-622-1327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty