Organization · NPI-2
Inner Peace Psychiatric Services, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Bullhead City, AZ
NPI number1669190864
StatusActive
Last updated in NPPESNov 7, 2025
Details
- NPI
- 1669190864
- Entity type
- Organization (NPI-2)
- Legal business name
- Inner Peace Psychiatric Services, LLC
- Organization subpart
- No
- Enumeration date
- Aug 15, 2022
- Certification date
- Nov 7, 2025
- Last updated
- Nov 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- Inner Peace Psychiatric Services (Doing Business As)
Practice location
211 Moser Ave Unit 103Bullhead City, AZ 86429-5249
Phone 928-419-1036 · Fax 928-404-2213
Mailing address
211 Moser Ave Unit 2Bullhead City, AZ 86429-5248
Phone 928-419-1036 · Fax 928-404-2213
Authorized official
Marie Bridget Moran
Ceo
9284042213
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