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General NPI Number Information
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NPI Number | 1255084927
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Entity Type | Organization
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Legal Business Name | INNER PEACE COUNSELING SERVICES INC
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Dates
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Enumeration Date | 02/01/2022
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 3002 WHIMSICAL LN
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City | KISSIMMEE
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State | FL
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Zip | 34744-8572
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Country | US
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Telephone | 787-676-8258
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Fax |
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Provider Business Mailing Address
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Address Line | 3002 WHIMSICAL LN
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City | KISSIMMEE
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State | FL
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Zip | 34744-8572
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Country | US
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Telephone | 787-676-8258
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEBORAH RIVERA
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Credential | PHD
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Telephone | 787-676-8258
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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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