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General NPI Number Information
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NPI Number | 1508757428
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Entity Type | Organization
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Legal Business Name | INNER PEACE SOLUTIONS LLC
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 15044 QUAIL LN
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City | PAINTER
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State | VA
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Zip | 23420-2933
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Country | US
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Telephone | 757-453-5211
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Fax | 757-296-0209
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Provider Business Mailing Address
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Address Line | 15044 QUAIL LN
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City | PAINTER
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State | VA
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Zip | 23420-2933
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Country | US
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Telephone | 757-453-5211
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Fax | 757-296-0209
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Authorized Official
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Title or Position | OWNER
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Name | TIARA MONIQUE MCINTOSH
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Credential | ED.D, LPC
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Telephone | 757-453-5211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional 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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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