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General NPI Number Information
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NPI Number | 1356115125
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Entity Type | Organization
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Legal Business Name | PEACEFUL PATHWAYS BEHAVIORAL HEALTH SERVICES
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Dates
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Enumeration Date | 11/13/2023
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 2529 LAKE ST
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City | LAKE CHARLES
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State | LA
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Zip | 70601-8211
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Country | US
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Telephone | 337-761-4981
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Fax | 337-735-9760
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Provider Business Mailing Address
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Address Line | 2529 LAKE ST
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City | LAKE CHARLES
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State | LA
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Zip | 70601-8211
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Country | US
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Telephone | 337-761-4981
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Fax | 337-735-9760
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Authorized Official
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Title or Position | CEO
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Name | QUALYNN S. JENKINS
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Credential |
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Telephone | 337-761-4981
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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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