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Peace River Center for Personal Development Inc

Mental Health Clinic/Center (Including Community Mental Health Center) in Bartow, FL · enumerated 2005 · authorized official Jo Deck, Credentialing Specialist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1821097767

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Registry record

Entity type Organization (Type 2)
Legal business name Peace River Center for Personal Development Inc
Other name <Unavail>
Practice address 1239 E Main St, Bartow, FL, 33830
Phone (863) 519-0575
Fax (863) 582-9251
Enumeration date Jul 20, 2005
Last updated in NPPES Apr 15, 2026

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
251B00000X Case Management Agency Agencies Secondary
251S00000X Community/Behavioral Health Agency Agencies Secondary
261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Primary
261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary
261QM0855X Adolescent and Children Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Secondary
284300000X Special Hospital Hospitals Secondary
320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities Secondary
323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities Secondary
343900000X Non-emergency Medical Transport (VAN) Transportation Services Secondary

Authorized official

Name Jo Deck
Title Credentialing Specialist
Phone (863) 519-0575

Other identifiers

Identifier Type State Issuer
060310400 Medicaid FL -
060310401 Medicaid FL -
060310410 Medicaid FL -
060310424 Medicaid FL -
060310405 Medicaid FL -
060310412 Medicaid FL -
060310414 Medicaid FL -
060310417 Medicaid FL -
060310411 Medicaid FL -
060310419 Medicaid FL -
060310425 Medicaid FL -
060310434 Medicaid FL -
060310435 Medicaid FL -
060310439 Medicaid FL -
060310404 Medicaid FL -
060310421 Medicaid FL -
060310422 Medicaid FL -
060310438 Medicaid FL -
060310429 Medicaid FL -
103255300 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-04-15. Verify at npiregistry.cms.hhs.gov.
Where is Peace River Center for Personal Development Inc located?
The practice location on file with NPPES is in Bartow, FL.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-15.