| NPI | 1598284259 | 
|---|---|
| Doing Business As | INNER PEACE AWARENESS COUNSELING, LLC. | 
| Entity Type | Organization | 
| Authorized Contact | BJ JOHNSON Billing Specialist 845-826-0727 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH14147) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH14147) | 
| Enumeration Date | 2017-09-13 | 
| Last Update Date | 2018-06-16 |