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General NPI Number Information
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NPI Number | 1518083880
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Entity Type | Organization
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Legal Business Name | PEACEFUL PERSONAL GROWTH PROGRAM INC.
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 436 STATE ST
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City | MARION
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State | NC
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Zip | 28752-4029
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Country | US
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Telephone | 828-442-5015
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Fax | 828-665-4354
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Provider Business Mailing Address
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Address Line | PO BOX 2855
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City | MARION
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State | NC
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Zip | 28752-0228
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Country | US
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Telephone | 828-442-5015
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Fax | 828-665-4354
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Authorized Official
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Title or Position | OWNER DIRECTOR
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Name | MS. SARAH ANN WELLS
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Credential | LPC
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Telephone | 828-442-5015
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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 | PC0009
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License Number State | NC
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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 | PC0009
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | PC0009
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License Number State | NC
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