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General NPI Number Information
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NPI Number | 1225823602
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Entity Type | Organization
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Legal Business Name | PEACEFUL HEALING, LLC
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 500 N GRANT ST
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City | ORONOGO
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State | MO
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Zip | 64855-9423
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Country | US
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Telephone | 417-414-0869
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Fax | 417-622-1327
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Provider Business Mailing Address
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Address Line | 231 S BEMISTON AVE STE 850 # 560474
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City | SAINT LOUIS
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State | MO
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Zip | 63105
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Country | US
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Telephone | 417-414-0869
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SUSAN D RHOADS
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Credential | LCSW
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Telephone | 417-414-0869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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