Provider Demographics
NPI:1285117721
Name:INNER PEACE COUNSELING
Entity type:Organization
Organization Name:INNER PEACE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIGIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HAMMIEL
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:914-803-3485
Mailing Address - Street 1:316 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01540-1728
Mailing Address - Country:US
Mailing Address - Phone:508-926-9295
Mailing Address - Fax:
Practice Address - Street 1:316 MAIN ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MA
Practice Address - Zip Code:01540-1728
Practice Address - Country:US
Practice Address - Phone:914-803-3485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)