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General NPI Number Information
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NPI Number | 1285412296
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Entity Type | Organization
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Legal Business Name | PEACE OF MIND COUNSELING & CONSULTING
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Dates
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Enumeration Date | 09/20/2023
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 63 W MAIN ST STE A-5
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City | FREEHOLD
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State | NJ
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Zip | 07728-2140
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Country | US
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Telephone | 347-948-6402
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Fax |
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Provider Business Mailing Address
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Address Line | 95 HERBERT AVE
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City | HAMILTON SQUARE
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State | NJ
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Zip | 08690-2730
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Country | US
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Telephone | 347-948-6402
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHASE GIRVIN
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Credential | LMHC, LPC
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Telephone | 347-948-6402
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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 |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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