Provider Demographics
NPI:1588252993
Name:PEACE OF MIND COUNSELING AND WELLNESS CENTER
Entity type:Organization
Organization Name:PEACE OF MIND COUNSELING AND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVESTRY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, NCC, LPC, ACS
Authorized Official - Phone:908-363-5535
Mailing Address - Street 1:395 SPRINGFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-1178
Mailing Address - Country:US
Mailing Address - Phone:908-363-5535
Mailing Address - Fax:
Practice Address - Street 1:395 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07922-1178
Practice Address - Country:US
Practice Address - Phone:908-363-5535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-02
Last Update Date:2021-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)