PEACE RIVER CENTER
NPI 1114673589
Psychiatry & Neurology - Psychiatry in Lakeland, FL

Active since February 24, 2022
230 S LAKE PARKER AVE, LAKELAND, FL 33801(863) 519-0575(863) 582-9251 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2023, Feb 24, 2022 (2 updates tracked since 2022).

About Peace River Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEACE RIVER CENTER (NPI 1114673589) is a healthcare organization registered as a psychiatry in Lakeland, Florida and active in the NPI registry since February 2022. The organization lists Jo Deck, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1114673589
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NamePEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC
Location Address230 S LAKE PARKER AVELakeland, FL 33801-5742
Mailing AddressPo Box 1559Bartow, FL 33831-1559 · (863) 519-0575 · Fax (863) 582-9251
Fax(863) 582-9251
Organization SubpartNo
Authorized OfficialJo DeckCredentialing Specialist · (863) 519-0575
Enumeration DateFebruary 24, 2022
Last NPPES UpdateMay 24, 20232 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
NPI 1114673589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
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 laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
230 S LAKE PARKER AVE, Lakeland, FL 33801

Other Names 1

Doing Business AsPeace River Center

Other Identifiers 1

Medicaid060310423FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Management
230 S LAKE PARKER AVE
LAKELAND, FL 33801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peace River Center For Personal Development Inc's NPI number?

The NPI number for Peace River Center For Personal Development Inc is 1114673589. It was assigned to this organization in the NPPES registry on February 24, 2022. The provider is doing business as Peace River Center.

Where is Peace River Center For Personal Development Inc located?

Peace River Center For Personal Development Inc is located at 230 S Lake Parker Ave, Lakeland, FL 33801. The listed phone number is (863) 519-0575.

What is Peace River Center For Personal Development Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Peace River Center For Personal Development Inc was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.