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General NPI Number Information
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NPI Number | 1487506150
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Entity Type | Organization
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Legal Business Name | A PEACEFUL MIND MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 3705 9TH AVE
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City | PORT ARTHUR
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State | TX
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Zip | 77642-4423
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Country | US
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Telephone | 409-526-1123
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 400
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City | PORT ARTHUR
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State | TX
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Zip | 77641-0400
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Country | US
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Telephone | 409-526-1123
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TIBA M BROWN
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Credential |
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Telephone | 402-871-2299
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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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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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