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General NPI Number Information
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NPI Number | 1386436988
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Entity Type | Organization
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Legal Business Name | PEACE LILY COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 301 S MCDOWELL ST STE 125
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City | CHARLOTTE
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State | NC
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Zip | 28204-0031
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Country | US
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Telephone | 484-742-3312
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Fax |
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Provider Business Mailing Address
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Address Line | 10031 LAMPKIN WAY
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City | CHARLOTTE
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State | NC
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Zip | 28269-8626
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL SOCIAL WORKER
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Name | DANIELLE SILBERMAN
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Credential |
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Telephone | 864-380-3581
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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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