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General NPI Number Information
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NPI Number | 1124842851
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Entity Type | Organization
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Legal Business Name | PEACEFUL COUNSELING LLC
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 3848 W 130TH ST
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City | CLEVELAND
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State | OH
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Zip | 44111-3316
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Country | US
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Telephone | 216-744-2061
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Fax | 440-984-2097
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Provider Business Mailing Address
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Address Line | 1710 KELLER PKWY # 4411
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City | KELLER
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State | TX
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Zip | 76248-3749
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Country | US
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Telephone | 216-744-2061
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Fax | 440-984-2097
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Authorized Official
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Title or Position | COUNSELOR TRAINEE
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Name | MS. ELYSE ROBINSON
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Credential |
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Telephone | 216-744-2061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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