PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC
NPI 1174305635
Community/Behavioral Health in Lakeland, FL

Active since October 19, 2023
1831 GILMORE AVE, LAKELAND, FL 33805(863) 519-0575(863) 582-9251 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peace River Center For Personal Development Inc NPPES

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

PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC (NPI 1174305635) is a healthcare organization registered as a community/behavioral health in Lakeland, Florida and active in the NPI registry since October 2023. The organization lists Jo Deck, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1174305635
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC
Location Address1831 GILMORE AVELakeland, FL 33805-3017
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 DateOctober 19, 2023
NPPES CertifiedOctober 19, 2023
NPI 1174305635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1831 GILMORE AVE, Lakeland, FL 33805

Other Identifiers 1

Medicaid060310424FL

Other Providers at the Same Location NPPES 9

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

Licensed Practical Nurse
1831 GILMORE AVE
LAKELAND, FL 33805
Internal Medicine
1831 GILMORE AVE
LAKELAND, FL 33805
Internal Medicine
1831 GILMORE AVE
LAKELAND, FL 33805
Nurse Practitioner (Primary Care)
1831 GILMORE AVE
LAKELAND, FL 33805
Registered Nurse
1831 GILMORE AVE
LAKELAND, FL 33805
Licensed Practical Nurse
1831 GILMORE AVE
LAKELAND, FL 33805
Licensed Practical Nurse
1831 GILMORE AVE
LAKELAND, FL 33805
Case Manager/Care Coordinator
1831 GILMORE AVE
LAKELAND, FL 33805

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 1174305635. It was assigned to this organization in the NPPES registry on October 19, 2023.

Where is Peace River Center For Personal Development Inc located?

Peace River Center For Personal Development Inc is located at 1831 Gilmore Ave, Lakeland, FL 33805. 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 Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Peace River Center For Personal Development Inc was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.