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General NPI Number Information
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NPI Number | 1467236463
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Entity Type | Organization
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Legal Business Name | SWEET PEONY MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 2911 N TENAYA WAY STE 215
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City | LAS VEGAS
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State | NV
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Zip | 89128-0495
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Country | US
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Telephone | 725-289-7370
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Fax |
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Provider Business Mailing Address
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Address Line | 6229 HAWTHORN WOODS AVE
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City | LAS VEGAS
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State | NV
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Zip | 89130-1388
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Country | US
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Telephone | 725-289-7370
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | CHRISTIE LYNN FIELDING
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Credential | LCSW
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Telephone | 725-289-7370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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