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General NPI Number Information
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NPI Number | 1184191769
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Entity Type | Organization
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Legal Business Name | PEACE OF MIND WELLNESS & FAMILY COUNSELING, INC.
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Dates
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Enumeration Date | 10/31/2018
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Last Update Date | 12/21/2023
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Provider Practice Location Address
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Address Line | 205 S PIERCE ST STE 2
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City | BURNET
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State | TX
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Zip | 78611-3112
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Country | US
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Telephone | 866-766-4835
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Fax | 949-264-2851
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Provider Business Mailing Address
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Address Line | 171 PAINTBRUSH LN
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City | BURNET
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State | TX
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Zip | 78611-2066
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Country | US
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Telephone | 714-809-1200
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Fax |
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Authorized Official
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Title or Position | THERAPIST/CEO
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Name | DEBORAH RAINWATER
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Credential | LMFT, MAC, LAADC
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Telephone | 714-367-4822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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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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