Provider Demographics
NPI:1316726631
Name:A PEACEFUL MIND LLC
Entity type:Organization
Organization Name:A PEACEFUL MIND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARETH
Authorized Official - Middle Name:J
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-349-6800
Mailing Address - Street 1:6301 IVY LN STE 700
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-6330
Mailing Address - Country:US
Mailing Address - Phone:301-349-6800
Mailing Address - Fax:240-319-4101
Practice Address - Street 1:6301 IVY LN STE 700
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-6330
Practice Address - Country:US
Practice Address - Phone:301-349-6800
Practice Address - Fax:240-319-4101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty