Provider Demographics
NPI:1558184341
Name:JUAREZ-PEACHER, ROMIE CHRISTINE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ROMIE
Middle Name:CHRISTINE
Last Name:JUAREZ-PEACHER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1831
Mailing Address - Street 2:
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-1831
Mailing Address - Country:US
Mailing Address - Phone:301-690-8008
Mailing Address - Fax:
Practice Address - Street 1:4412 74TH ST STE F100
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-2316
Practice Address - Country:US
Practice Address - Phone:301-690-8008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-01
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1057641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical