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General NPI Number Information
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NPI Number | 1518622075
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Entity Type | Organization
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Legal Business Name | PEACE'IN'IT COUNSELING
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Dates
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Enumeration Date | 11/01/2021
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Last Update Date | 11/01/2021
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Provider Practice Location Address
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Address Line | 700 TECH CENTER PKWY STE 200-17
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-3075
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Country | US
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Telephone | 757-373-9284
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Fax |
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Provider Business Mailing Address
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Address Line | 700 TECH CENTER PKWY STE 200-17
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-3075
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. PRELL GROSS
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Credential | LPC
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Telephone | 757-373-9284
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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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Taxonomy #3
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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 #4
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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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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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