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General NPI Number Information
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NPI Number | 1316416241
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Entity Type | Organization
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Legal Business Name | THOUGHTS OF PEACE, LLC
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Dates
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Enumeration Date | 11/20/2018
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Last Update Date | 11/20/2018
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Provider Practice Location Address
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Address Line | 410 STATE ST RM 1
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City | NORTH HAVEN
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State | CT
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Zip | 06473-3149
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Country | US
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Telephone | 203-890-0555
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Fax |
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Provider Business Mailing Address
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Address Line | 14 CAROLYN CT
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City | NORTH HAVEN
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State | CT
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Zip | 06473-4003
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Country | US
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Telephone | 203-215-0175
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LATASHA YVONNE ARCHIBALD
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Credential | LPC
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Telephone | 203-890-0555
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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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