Provider Demographics
NPI:1306538004
Name:PEACEFUL CONNECTIONS COUNSELING & CONSULTING SERVICES, PLLC
Entity type:Organization
Organization Name:PEACEFUL CONNECTIONS COUNSELING & CONSULTING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:813-922-2400
Mailing Address - Street 1:3632 LAND O LAKES BLVD # 105-20
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34639-4405
Mailing Address - Country:US
Mailing Address - Phone:813-922-2400
Mailing Address - Fax:
Practice Address - Street 1:3632 LAND O LAKES BLVD # 105-20
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34639-4405
Practice Address - Country:US
Practice Address - Phone:813-922-2400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty