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PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC
NPI 1790430452
Clinic/Center - Mental Health (Including Community Mental Health Center) in Lakeland, FL

Active since February 21, 2022
1835 GILMORE AVE, LAKELAND, FL 33805(863) 519-0575 Get Directions Write a Review

NPPES record last updated: February 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 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 1790430452) is a healthcare organization registered as a mental health (including community mental health center) 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

NPI1790430452
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC
Location Address1835 GILMORE AVELakeland, FL 33805-3017
Mailing AddressPo Box 1559Bartow, FL 33831-1559 · (863) 519-0575 · Fax (863) 582-9251
Phone(863) 519-0575
Organization SubpartNo
Authorized OfficialJo DeckCredentialing Specialist · (863) 519-0575
Enumeration DateFebruary 21, 2022
NPPES CertifiedFebruary 21, 2022
✔ NPI 1790430452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1835 GILMORE AVE, Lakeland, FL 33805
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Other Identifiers 1

Medicaid060310405FL

Other Providers at the Same Location NPPES 20

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

OLIVIA ANDERSON LCSW
Social Worker (Clinical)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
CHARLES A BARRIOS MD
Psychiatry & Neurology (Psychiatry)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
MYRIAM BUITRAGO LMHC
Counselor (Mental Health)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
MRS. TONYA FLORES LCSW
Social Worker (Clinical)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
MARY E BRADY LPN
Licensed Practical Nurse
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
EDITH CREMERIUS MSW
Social Worker (Clinical)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
JESSICA DOBBERTIN BORRUSO LCSW
Social Worker (Clinical)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
ADELMA ANSLEY KILGORE LCSW
Social Worker (Clinical)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575

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 1790430452. It was assigned to this organization in the NPPES registry on February 21, 2022.

Where is Peace River Center For Personal Development Inc located?

Peace River Center For Personal Development Inc is located at 1835 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 Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Peace River Center For Personal Development Inc was last updated on February 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.