OrganizationActive
Peace River Center for Personal Development Inc
NPI 1790431146 · Case Management Agency · Lakeland, FL
Peace River Center for Personal Development Inc is a Case Management Agency organization in Lakeland, FL (NPI 1790431146).
Provider details
- NPI number
- 1790431146
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jo Deck, Credentialing Specialist(863) 519-0575
Specialties & taxonomies
Agencies
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1664 Williamsburg Sq
Lakeland, FL 33803-4278
Phone: (863) 519-0575
Fax: (863) 582-9251
Street-level locationGet directions
Mailing address
Po Box 1559
Bartow, FL 33831-1559
Other names (DBA / former)
- Doing business as
- Peace River Center
- Doing business as
- Peace River Center
Registry dates
- Enumerated
- 2022-02-24
- Last updated
- 2023-05-24
- Certified
- 2023-05-24
Frequently asked questions
- What is Peace River Center for Personal Development Inc's NPI number?
- Peace River Center for Personal Development Inc's National Provider Identifier (NPI) is 1790431146, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peace River Center for Personal Development Inc?
- Peace River Center for Personal Development Inc is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is Peace River Center for Personal Development Inc located?
- Peace River Center for Personal Development Inc's practice location on file with NPPES is 1664 Williamsburg Sq, Lakeland, FL 33803-4278.
- What is Peace River Center for Personal Development Inc's phone number?
- The practice phone number listed in the NPPES registry for Peace River Center for Personal Development Inc is (863) 519-0575.
- Who is the authorized official for Peace River Center for Personal Development Inc?
- The authorized official listed on Peace River Center for Personal Development Inc's NPPES record is Jo Deck, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peace River Center for Personal Development Inc's NPI active?
- Yes — Peace River Center for Personal Development Inc's NPI (1790431146) is active in the NPPES registry as of the last update on 2023-05-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.