Provider Demographics
NPI:1316671951
Name:PACIFIC PEACE COUNSELING, LLC
Entity type:Organization
Organization Name:PACIFIC PEACE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:ARIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORREIA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:972-360-8168
Mailing Address - Street 1:10581 N MACARTHUR BLVD APT 2178
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-7793
Mailing Address - Country:US
Mailing Address - Phone:972-360-8168
Mailing Address - Fax:
Practice Address - Street 1:10581 N MACARTHUR BLVD APT 2178
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-7793
Practice Address - Country:US
Practice Address - Phone:972-360-8168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-11
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty