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General NPI Number Information
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NPI Number | 1053275768
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Entity Type | Organization
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Legal Business Name | PEGGY BEATTIE MA LPCC
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 5009 EXCELSIOR BLVD STE 130
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City | ST LOUIS PARK
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State | MN
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Zip | 55416-3049
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Country | US
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Telephone | 888-203-1508
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Fax |
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Provider Business Mailing Address
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Address Line | 5009 EXCELSIOR BLVD STE 130
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City | ST LOUIS PARK
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State | MN
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Zip | 55416-3049
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | PEGGY BEATTIE
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Credential | LPCC
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Telephone | 888-203-1508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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