Provider Demographics
NPI:1447995451
Name:MENTAL PEACE PSYCHIATRY LLC
Entity type:Organization
Organization Name:MENTAL PEACE PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:ADOMAA
Authorized Official - Last Name:FRIMPONG
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:347-596-2258
Mailing Address - Street 1:2575 EASTERN BLVD STE 212
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2903
Mailing Address - Country:US
Mailing Address - Phone:717-910-6769
Mailing Address - Fax:717-212-2972
Practice Address - Street 1:2575 EASTERN BLVD STE 212
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-2903
Practice Address - Country:US
Practice Address - Phone:717-910-6769
Practice Address - Fax:717-212-2972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-03
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health