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NPI 1255207221

NPI 1255207221 : INNER PEACE & ENLIGHTENMENT THERAPY LLC : CHESAPEAKE, VA

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General NPI Number Information
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    NPI Number           |    1255207221
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    Entity Type          |    Organization 
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    Legal Business Name  |    INNER PEACE & ENLIGHTENMENT THERAPY LLC 
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Dates
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    Enumeration Date     |    10/15/2025
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    Last Update Date     |    01/02/2026
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Provider Practice Location Address
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    Address Line         |    1605 CULLEN AVE 
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    City                 |    CHESAPEAKE
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    State                |    VA
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    Zip                  |    23324
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    Country              |    US
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    Telephone            |    757-774-6184
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    Fax                  |    757-299-8089
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Provider Business Mailing Address
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    Address Line         |    1021 EDEN WAY N STE 118 
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    City                 |    CHESAPEAKE
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    State                |    VA
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    Zip                  |    23320-2776
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    Country              |    US
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    Telephone            |    757-774-6184
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    Fax                  |    757-299-8089
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     STEPHANIE  SCOTT-LEWIS 
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    Credential           |    LPC
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    Telephone            |    757-774-6184
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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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