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General NPI Number Information
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NPI Number | 1346127842
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Entity Type | Organization
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Legal Business Name | PEACEFUL PATH THERAPY LLC
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 516 N ROLLING RD STE 305
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City | CATONSVILLE
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State | MD
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Zip | 21228-4142
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Country | US
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Telephone | 703-512-5153
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Fax |
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Provider Business Mailing Address
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Address Line | 516 N ROLLING RD STE 305
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City | CATONSVILLE
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State | MD
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Zip | 21228-4142
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Country | US
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Telephone | 703-512-5153
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GREGORY HARRIS
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Credential | LCPC
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Telephone | 571-216-2088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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