Provider Demographics
NPI:1528778982
Name:PEACE FAMILY COUNSELING, LLC
Entity type:Organization
Organization Name:PEACE FAMILY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:317-496-0456
Mailing Address - Street 1:48 N EMERSON AVE STE 650
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-5522
Mailing Address - Country:US
Mailing Address - Phone:317-496-0456
Mailing Address - Fax:317-434-1319
Practice Address - Street 1:48 N EMERSON AVE STE 650
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-5522
Practice Address - Country:US
Practice Address - Phone:317-496-0456
Practice Address - Fax:317-434-1319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)