{"npi":"1669190864","type":"NPI-2","status":"active","name":{"display":"Inner Peace Psychiatric Services, LLC","other":[],"organization_name":"INNER PEACE PSYCHIATRIC SERVICES, LLC","authorised_official":"Marie Moran"},"specialty":{"primary_taxonomy":"261QM0801X","primary_taxonomy_description":"Mental Health Clinic/Center (Including Community Mental Health Center)","slug":"mental-health-clinic-center-including-community-mental-health-center","schema_org_specialty":null,"all":[{"code":"261QM0801X","description":"Mental Health Clinic/Center (Including Community Mental Health Center)","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"211 MOSER AVE UNIT 103","city":"BULLHEAD CITY","state":"AZ","postal_code":"864295249","country_code":"US","phone":"9284191036","fax":"9284042213"},{"purpose":"MAILING","street_1":"211 MOSER AVE UNIT 2","city":"BULLHEAD CITY","state":"AZ","postal_code":"864295248","country_code":"US","phone":"9284191036","fax":"9284042213"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1386159440","state":"AZ","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2022-08-15","last_updated":"2025-11-07","_meta":{"source":"NPPES","snapshot_date":"2025-11-07","doc_url":"https://findmynpi.com/api"}}