Provider Demographics
NPI:1760366280
Name:PEACEFUL PATHWAYS PSYCHIATRY PLLC
Entity type:Organization
Organization Name:PEACEFUL PATHWAYS PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:BREONA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:919-820-6514
Mailing Address - Street 1:110 FRANKLIN FARM LN
Mailing Address - Street 2:
Mailing Address - City:BENSON
Mailing Address - State:NC
Mailing Address - Zip Code:27504-6793
Mailing Address - Country:US
Mailing Address - Phone:919-820-6514
Mailing Address - Fax:919-820-6514
Practice Address - Street 1:110 FRANKLIN FARM LN
Practice Address - Street 2:
Practice Address - City:BENSON
Practice Address - State:NC
Practice Address - Zip Code:27504-6793
Practice Address - Country:US
Practice Address - Phone:919-820-6514
Practice Address - Fax:919-820-6514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty