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General NPI Number Information
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NPI Number | 1376088096
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Entity Type | Organization
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Legal Business Name | PEACE-FILLED MENTAL HEALTH COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 01/04/2017
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 26 COURT ST STE 600
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City | BROOKLYN
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State | NY
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Zip | 11242-1106
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Country | US
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Telephone | 718-869-1054
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Fax |
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Provider Business Mailing Address
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Address Line | 26 COURT ST STE 600
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City | BROOKLYN
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State | NY
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Zip | 11242-1106
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Country | US
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Telephone | 718-869-1054
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KEISHA JEANNINE SANDO
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Credential | LMHC
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Telephone | 718-869-1054
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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 | 004410-1
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License Number State | NY
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