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General NPI Number Information
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NPI Number | 1417852567
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Entity Type | Organization
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Legal Business Name | A PEACE OF SERENITY SUPPORT SERVICES LLC
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 1515 OAKCREST DR
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City | KANNAPOLIS
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State | NC
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Zip | 28083-6443
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Country | US
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Telephone | 336-564-8390
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Fax |
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Provider Business Mailing Address
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Address Line | 1515 OAKCREST DR
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City | KANNAPOLIS
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State | NC
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Zip | 28083-6443
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Country | US
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Telephone | 336-564-8390
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | PATRICE COLEMAN
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Credential | CPSS
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Telephone | 336-564-8390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | NULL
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