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General NPI Number Information
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NPI Number | 1396682977
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Entity Type | Organization
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Legal Business Name | PEACE OF MIND PEER SUPPORT AND RECOVERY LLC
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 3794 TOWNE POINT RD APT E
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City | PORTSMOUTH
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State | VA
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Zip | 23703-2562
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Country | US
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Telephone | 757-298-4145
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Fax |
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Provider Business Mailing Address
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Address Line | 3794 TOWNE POINT RD APT E
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City | PORTSMOUTH
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State | VA
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Zip | 23703-2562
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Country | US
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Telephone | 757-298-4145
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Fax |
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Authorized Official
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Title or Position | REGISTERED PEER RECOVERY SPECIALIST
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Name | MR. CLARENCE COWLEY
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Credential | RPRS
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Telephone | 757-298-4145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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