OrganizationActiveAccepts Medicare

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

Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801X
Ambulatory Health Care Facilities
Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Case Management Agency251B00000X
Agencies
Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities
Mental Illness Community Based Residential Treatment Facility320800000X
Residential Treatment Facilities
Psychiatric Residential Treatment Facility323P00000X
Residential Treatment Facilities
Community/Behavioral Health Agency

Profile Score

Detailed profile(100/100 index)

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

1239 E Main St

Bartow, FL 33830-5058

Phone: (863) 519-0575

Fax: (863) 582-9251

Approximate (ZIP-level) locationGet directions

More FL providers

Mailing address

Po Box 1559

Bartow, FL 33831-1559

Other names (DBA / former)

Doing business as: Peace River Center

Additional practice locations (14)

1255 Golfview Ave
Bartow, FL 33830-6736
Phone: (863) 519-0575
Fax: (863) 582-9251
751 Scenic Hwy
Haines City, FL 33844-7500
Phone: (863) 519-0575
Fax: (863) 582-9251
728 E Bella Vista St
Lakeland, FL 33805-3088
Phone: (863) 519-0575
Fax: (863) 582-9251
1825 Gilmore Ave
Lakeland, FL 33805-3017
Phone: (863) 519-0575
1835 Gilmore Ave
Lakeland, FL 33805-3017
Phone: (863) 519-0575
1664 Williamsburg Sq
Lakeland, FL 33803-4278
Phone: (863) 519-0575
Fax: (863) 582-9251
1831 N Crystal Lake Dr
Lakeland, FL 33801-5902
Phone: (863) 519-0575
Fax: (863) 582-9251
715 N Lake Ave
Lakeland, FL 33801-1908
Phone: (863) 519-0575

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.