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General NPI Number Information
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NPI Number | 1356149124
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Entity Type | Organization
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Legal Business Name | PEACEFUL MIND CENTERS, LLC
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 10940 WILSHIRE BLVD, SUITE 1600
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City | LOS ANGELES
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State | CA
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Zip | 90024-9002
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Country | US
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Telephone | 917-751-6545
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Fax |
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Provider Business Mailing Address
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Address Line | 525 N SYCAMORE AVE APT 306
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City | LOS ANGELES
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State | CA
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Zip | 90036-2047
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Country | US
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Telephone | 917-751-6545
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. WILLIAM MAIA
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Credential |
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Telephone | 917-751-6545
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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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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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