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General NPI Number Information
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NPI Number | 1225990385
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Entity Type | Organization
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Legal Business Name | INNER PEACE BEHAVIORAL HEALTH AND ADDITION SERVICES
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 3914 NEWTON ABBEY LN
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City | GROVEPORT
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State | OH
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Zip | 43125-2508
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Country | US
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Telephone | 614-597-2811
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Fax |
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Provider Business Mailing Address
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Address Line | 3914 NEWTON ABBEY LN
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City | GROVEPORT
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State | OH
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Zip | 43125-2508
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Country | US
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Telephone | 614-597-2811
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | TANAE MCCRAE
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Credential | RN
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Telephone | 614-597-2811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 385HR2050X
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Taxonomy Name | Respite Care Camp
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License Number |
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License Number State |
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Taxonomy #7
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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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