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General NPI Number Information
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NPI Number | 1235043183
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Entity Type | Organization
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Legal Business Name | PEACEFUL HEART COUNSELING
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 645 MAIN ST
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City | SOMERS
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State | CT
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Zip | 06071-2102
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Country | US
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Telephone | 401-400-1078
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Fax |
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Provider Business Mailing Address
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Address Line | 795 CHAPEL RD
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City | SOUTH WINDSOR
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State | CT
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Zip | 06074-4204
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Country | US
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Telephone | 508-333-1599
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ABIGAIL BERND
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Credential |
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Telephone | 401-400-1078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | NULL
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