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General NPI Number Information
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NPI Number | 1134757719
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Entity Type | Organization
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Legal Business Name | PERFECTING PEACE COUNSELING CENTER
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Dates
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Enumeration Date | 03/30/2020
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Last Update Date | 03/30/2020
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Provider Practice Location Address
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Address Line | 11901 SAM FURR RD
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-9528
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Country | US
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Telephone | 704-412-1124
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Fax |
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Provider Business Mailing Address
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Address Line | 215 N PINE ST UNIT 2602
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City | CHARLOTTE
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State | NC
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Zip | 28202-2082
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Country | US
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Telephone | 704-201-2047
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHARON STEVENS
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Credential | LCMHC
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Telephone | 704-412-1124
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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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