OrganizationBridge To Peace Counseling, LlcCounselorBehavioral Health & Social Service ProvidersPractice Address502 Wall St Ste 105, Valparaiso, IN 46383-2599(219) 627-1555PECOS EnrollmentBased on the most recent information from CMS, provider Bridge To Peace Counseling, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1205430261Provider TypeOrganizationFull NameBridge To Peace Counseling, LlcSubpartNoEnumeration Date11/30/2020Last Updated12/2/2020Contact InformationPractice LocationPractice Address502 Wall St Ste 105, Valparaiso, IN 46383-2599Phone(219) 627-1555FaxUnlisted FaxMailing LocationMailing Address502 Wall St Ste 105, Valparaiso, IN 46383-2599Phone(219) 627-1555FaxUnlisted FaxAuthorized OfficialNameGroceman, Kym A (Owner)Phone(219) 627-1555Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID39002848ADescriptionOtherIssuerBEHAVIORAL HEALTH AND HUMAN SERVICES LICENSING BOARDIndiana