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General NPI Number Information
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NPI Number | 1427794007
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Entity Type | Organization
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Legal Business Name | JOURNEY TO PEACE COUNSELING LLC
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Dates
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Enumeration Date | 05/06/2022
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 4111 EFFIE SEWARD DR
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City | MURFREESBORO
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State | TN
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Zip | 37129-7238
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Country | US
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Telephone | 615-412-9626
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Fax |
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Provider Business Mailing Address
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Address Line | 1740 OLD FORT PKWY # 1011
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City | MURFREESBORO
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State | TN
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Zip | 37129-3384
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Country | US
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Telephone | 615-412-9626
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAMEKA DENNIS
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Credential | LMFT
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Telephone | 615-412-9626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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