Peace River Center for Personal Development Inc
NPI 1821097767 · Mental Health Clinic/Center (Including Community Mental Health Center) · Bartow, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1821097767
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jo Deck, Credentialing Specialist(863) 519-0575
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Case Management Agency251B00000X
Agencies
- Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities
Residential Treatment Facilities
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
15 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Peace River Center
Additional practice locations (14)
- 1255 Golfview AveBartow, FL 33830-6736Phone: (863) 519-0575Fax: (863) 582-9251
- 751 Scenic HwyHaines City, FL 33844-7500Phone: (863) 519-0575Fax: (863) 582-9251
- 728 E Bella Vista StLakeland, FL 33805-3088Phone: (863) 519-0575Fax: (863) 582-9251
- 1825 Gilmore AveLakeland, FL 33805-3017Phone: (863) 519-0575
- 1835 Gilmore AveLakeland, FL 33805-3017Phone: (863) 519-0575
- 1664 Williamsburg SqLakeland, FL 33803-4278Phone: (863) 519-0575Fax: (863) 582-9251
- 1831 N Crystal Lake DrLakeland, FL 33801-5902Phone: (863) 519-0575Fax: (863) 582-9251
- 715 N Lake AveLakeland, FL 33801-1908Phone: (863) 519-0575
Registry dates
- Enumerated
- 2005-07-20
- Last updated
- 2026-04-15
- Certified
- 2026-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.