Provider Demographics
NPI:1386234532
Name:PEACEFUL RECOGNITIONS LLC
Entity type:Organization
Organization Name:PEACEFUL RECOGNITIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:EALY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, APRN, PMHNP-BC
Authorized Official - Phone:308-627-2122
Mailing Address - Street 1:2222 2ND AVE STE 800
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-5373
Mailing Address - Country:US
Mailing Address - Phone:308-252-5760
Mailing Address - Fax:308-252-5747
Practice Address - Street 1:2222 2ND AVE STE 800
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-5373
Practice Address - Country:US
Practice Address - Phone:308-252-5760
Practice Address - Fax:308-252-5747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty