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General NPI Number Information
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NPI Number | 1336932151
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Entity Type | Organization
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Legal Business Name | PEACEFUL MIND COUNSELING
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Dates
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Enumeration Date | 05/24/2025
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Last Update Date | 05/24/2025
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Provider Practice Location Address
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Address Line | 2 TOWER PLZ STE B
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City | LONG BEACH
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State | MS
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Zip | 39560-3900
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Country | US
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Telephone | 601-596-4725
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Fax |
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Provider Business Mailing Address
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Address Line | 310 W OLD PASS RD
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City | LONG BEACH
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State | MS
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Zip | 39560-4528
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Country | US
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Telephone | 601-596-4725
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARAH BIENVENU
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Credential |
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Telephone | 601-596-4725
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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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