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General NPI Number Information
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NPI Number | 1437758240
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Entity Type | Organization
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Legal Business Name | DEDICATED PEACE MENTAL HEALTH COUNSELING, P.C.
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Dates
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Enumeration Date | 10/22/2020
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 11835 QUEENS BLVD STE 400
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City | FOREST HILLS
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State | NY
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Zip | 11375-7211
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Country | US
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Telephone | 917-584-0365
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Fax |
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Provider Business Mailing Address
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Address Line | 11835 QUEENS BLVD STE 400
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City | FOREST HILLS
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State | NY
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Zip | 11375-7211
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Country | US
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Telephone | 917-584-0365
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LAUREN PEZZO
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Credential | LMHC, CASAC
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Telephone | 917-584-0365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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