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NPI 1275398869

NPI 1275398869 : PURSUING PEACE COUNSELING : SUMMERVILLE, SC

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General NPI Number Information
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    NPI Number           |    1275398869
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    Entity Type          |    Organization 
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    Legal Business Name  |    PURSUING PEACE COUNSELING 
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Dates
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    Enumeration Date     |    02/14/2024
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    Last Update Date     |    03/03/2024
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Provider Practice Location Address
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    Address Line         |    5106 BARRYMORE CT 
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    City                 |    SUMMERVILLE
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    State                |    SC
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    Zip                  |    29485-9046
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    Country              |    US
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    Telephone            |    843-830-4904
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5106 BARRYMORE CT 
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    City                 |    SUMMERVILLE
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    State                |    SC
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    Zip                  |    29485-9046
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    Country              |    US
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    Telephone            |    843-830-4904
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/THERAPIST
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    Name                 |    MRS. KATHLEEN ANN BELT 
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    Credential           |    LISW-CP
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    Telephone            |    843-830-4904
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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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