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General NPI Number Information
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NPI Number | 1336050921
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Entity Type | Organization
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Legal Business Name | PEACEFUL MEADOW COUNSELING, LLC
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 3810 N PENIEL AVE
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City | BETHANY
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State | OK
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Zip | 73008-3443
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Country | US
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Telephone | 405-274-2282
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Fax |
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Provider Business Mailing Address
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Address Line | 128 E 2ND ST
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City | POCASSET
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State | OK
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Zip | 73079-9601
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Country | US
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Telephone | 405-274-2282
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Fax |
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | DESIREE TAYLOR
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Credential | LPC
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Telephone | 405-274-2282
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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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