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General NPI Number Information
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NPI Number | 1043505530
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Entity Type | Organization
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Legal Business Name | A PEACE OF MIND COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 06/13/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7316 JACKSON ARCH DR
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-4721
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Country | US
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Telephone | 804-677-6958
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Fax | 804-677-6958
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Provider Business Mailing Address
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Address Line | 7316 JACKSON ARCH DR
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-4721
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Country | US
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Telephone | 804-677-6958
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | LATESHA MCINTOSH
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Credential | MSW, LCSW
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Telephone | 804-677-6958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | C006937
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License Number State | NC
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