Organization · Type 2 NPI

Peace River Center for Personal Development Inc

Psychiatry Physician · Lakeland, FL

NPI number 1114673589 Active

Practice location

230 S Lake Parker Ave
Lakeland, FL 33801-5742

Call (863) 519-0575 Map

Fax (863) 582-9251

Mailing address

PO Box 1559
Bartow, FL 33831-1559

Specialties and licenses

Taxonomy	Code	License
Psychiatry Physician Primary	2084P0800X	None listed

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

Another provider at this address

Peace River Center for Personal Development IncCase Management Agency Lakeland, FL NPI 1265187728

Other psychiatry physician providers in Lakeland

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NPI record

NPI: 1114673589
Entity type: Organization (Type 2)
Issued: Feb 24, 2022
Last updated: May 24, 2023
Status: Active

Other names

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Peace River Center · doing business as
Peace River Center · doing business as

Authorized official

Jo Deck, BA, CPC
Credentialing Specialist
(863) 519-0575

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114673589

Peace River Center for Personal Development Inc's National Provider Identifier is 1114673589, issued on Feb 24, 2022. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Lakeland, FL. The record was last updated on May 24, 2023.