Doctor Name: | MR. STUART M PEACE |
NPI Number: | 1790744845 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.ED., LPC, NCC, MAC |
License Number: | 105 |
Business Practice Address: | Eisenhower Army Medical Center, Bldg 300 13th Floor, Outpatient Behavioral Health Services Fort Gordon, GA - 30905 |
Business Phone Number: | 7064697970 |
Business Fax Number: | |
Mailing Address: | 613 Brigham Trl, AUGUSTA |
State: | GA |
Postal Code: | 309096061 |
Phone Number: | 7064697970 |
Fax Number: | |
NPI Enumeration Date: | 03/18/2006 |
NPI Last Update Date: | 09/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 105 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |