1821097767 PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC

Mental Health Clinic/Center (Including Community Mental Health Center)

Active

Basic Information

Organization Name
PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC
Enumeration Date
July 20, 2005
Last Update
October 7, 2024
Authorized Official
JO DECK BA, CPC
CREDENTIALING SPECIALIST
Phone: (863) 519-0575

Practice Location

Address
1239 E MAIN ST
BARTOW, FL 338305058
Phone
(863) 519-0575
Fax
(863) 582-9251

Mailing Address

Address
PO BOX 1559
BARTOW, FL 338311559
Phone
(863) 519-0575
Fax
(863) 582-9251

Specialties & Taxonomies

Specialty Code Classification License State Primary
Family Medicine Physician
 207Q00000X Family Medicine N/A N/A No
Case Management Agency
 251B00000X Case Management N/A N/A No
Community/Behavioral Health Agency
 251S00000X Community/Behavioral Health N/A N/A No
Adult Mental Health Clinic/Center
Adult Mental Health
 261QM0850X Clinic/Center N/A N/A No
Rural Health Clinic/Center
Rural Health
 261QR1300X Clinic/Center N/A N/A No
Adolescent and Children Mental Health Clinic/Center
Adolescent and Children Mental Health
 261QM0855X Clinic/Center N/A N/A No
Special Hospital
 284300000X Special Hospital N/A N/A No
Mental Illness Community Based Residential Treatment Facility
 320800000X Community Based Residential Treatment Facility, Mental Illness N/A N/A No
Psychiatric Residential Treatment Facility
 323P00000X Psychiatric Residential Treatment Facility N/A N/A No
Non-emergency Medical Transport (VAN)
 343900000X Non-emergency Medical Transport (VAN) N/A N/A No
Mental Health Clinic/Center (Including Community Mental Health Center)
Mental Health (Including Community Mental Health Center)
 261QM0801X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
060310400 05 FL N/A
060310401 05 FL N/A
060310410 05 FL N/A
060310424 05 FL N/A
060310405 05 FL N/A
060310412 05 FL N/A
060310414 05 FL N/A
060310417 05 FL N/A
060310411 05 FL N/A
060310419 05 FL N/A
060310425 05 FL N/A
060310434 05 FL N/A
060310435 05 FL N/A
060310439 05 FL N/A
060310404 05 FL N/A
060310421 05 FL N/A
060310422 05 FL N/A
060310438 05 FL N/A
060310429 05 FL N/A
103255300 05 FL N/A
060310406 05 FL N/A
060310413 05 FL N/A
060310426 05 FL N/A
060310432 05 FL N/A
060310415 05 FL N/A
060310409 05 FL N/A
060310423 05 FL N/A
060310437 05 FL N/A
103255700 05 FL N/A

Additional Practice Locations

3241 Lakeland Hills Blvd
Lakeland, FL 338052266

Phone: (863) 519-0575

1664 Williamsburg Sq
Lakeland, FL 338034278

Phone: (863) 519-0575 ext. 6494

Fax: (863) 582-9251

1831 N Crystal Lake Dr
Lakeland, FL 338015902

Phone: (863) 519-0575 ext. 6494

Fax: (863) 582-9251

751 Scenic Hwy
Haines City, FL 338447500

Phone: (863) 519-0575 ext. 6494

Fax: (863) 582-9251

230 S Lake Parker Ave
Lakeland, FL 338015742

Phone: (863) 582-9251 ext. 6494

Fax: (863) 582-9251

815 State Road 60 E
Lake Wales, FL 338534241

Phone: (863) 519-0575 ext. 6494

Fax: (863) 582-9251

2014 Lakeland Hills Blvd
Lakeland, FL 338052904

Phone: (863) 519-0575 ext. 6494

Fax: (863) 582-9251

728 E Bella Vista St
Lakeland, FL 338053088

Phone: (863) 519-0575 ext. 6494

Fax: (863) 582-9251

213 E Orange St
Wauchula, FL 338732934

Phone: (863) 519-0575

1825 Gilmore Ave
Lakeland, FL 338053017

Phone: (863) 519-0575

715 N Lake Ave
Lakeland, FL 338011908

Phone: (863) 519-0575

1835 Gilmore Ave
Lakeland, FL 338053017

Phone: (863) 519-0575

1831 Gilmore Ave
Lakeland, FL 338053017

Phone: (863) 519-0575

950 County Road 17A W
Avon Park, FL 338252164

Phone: (863) 519-0575 ext. 6494

Fax: (863) 582-9251

1255 Golfview Ave
Bartow, FL 338306736

Phone: (863) 519-0575 ext. 6494

Fax: (863) 582-9251

Frequently Asked Questions

What is PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC's NPI number?
PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC's NPI number is 1821097767.
Which doctor has NPI number 1821097767?
The doctor with NPI number 1821097767 is PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC.
What is PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC's practice address?
PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC's practice address is 1239 E MAIN ST, BARTOW, FL, 338305058.
Which doctor practices at 1239 E MAIN ST, BARTOW, FL, 338305058?
PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC practices at 1239 E MAIN ST, BARTOW, FL, 338305058.
What is PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC's mailing address?
PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC's mailing address is PO BOX 1559, BARTOW, FL, 338311559.
What is PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC's phone number?
PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC's phone number is (863) 519-0575.
Who is (863) 519-0575?
(863) 519-0575 is the phone number for PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC.
What is PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC's specialty?
PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC's specialty is Mental Health Clinic/Center (Including Community Mental Health Center).
What type of doctor is PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC?
PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC is a Mental Health Clinic/Center (Including Community Mental Health Center).
Is PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC a Mental Health (Including Community Mental Health Center)?
Yes, PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC is a Mental Health (Including Community Mental Health Center).
Is PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC still practicing?
Yes, PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC is currently practicing.
Is PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC accepting new patients?
PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC may be accepting new patients. Please call their office at (863) 519-0575 to inquire about availability.
Is NPI 1821097767 still active?
Yes, NPI 1821097767 is currently active.
Where does PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC practice?
PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC practices in BARTOW, FL.