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General NPI Number Information
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NPI Number | 1457727265
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Entity Type | Organization
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Legal Business Name | PEACE COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 08/16/2015
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Last Update Date | 05/31/2016
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Provider Practice Location Address
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Address Line | 2631 NW 41ST ST STE E-6
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City | GAINESVILLE
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State | FL
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Zip | 32606-7470
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Country | US
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Telephone | 352-870-5230
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Fax |
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Provider Business Mailing Address
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Address Line | 2631 NW 41ST ST SUITE E-6
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City | GAINESVILLE
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State | FL
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Zip | 32606-7470
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Country | US
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Telephone | 352-870-5230
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | PERRY PEACE-PALMER
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Credential | PH.D., LMHC
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Telephone | 352-870-5230
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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 | MH 10626
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License Number State | FL
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