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General NPI Number Information
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NPI Number | 1427866326
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Entity Type | Organization
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Legal Business Name | PEACEFUL MINDS COUNSELING INC
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Dates
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Enumeration Date | 12/23/2024
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 493 PLEASANT VALLEY RD STE 210-B
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City | DIAMOND SPRINGS
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State | CA
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Zip | 95619-9561
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Country | US
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Telephone | 530-558-9009
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 53
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City | SHINGLE SPRINGS
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State | CA
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Zip | 95682-0053
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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 | CEO
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Name | COURTNEY TOMBLIN
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Credential |
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Telephone | 530-485-3374
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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 |
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License Number State |
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