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General NPI Number Information
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NPI Number | 1548086234
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Entity Type | Organization
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Legal Business Name | EMBODIED PEACE COUNSELING, LLC
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 950 MOUNT MORIAH RD STE 202
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City | MEMPHIS
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State | TN
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Zip | 38117-5838
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Country | US
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Telephone | 901-206-3536
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Fax |
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Provider Business Mailing Address
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Address Line | 950 MOUNT MORIAH RD STE 202
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City | MEMPHIS
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State | TN
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Zip | 38117-5838
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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 | OWNER, MENTAL HEALTH THERAPIST
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Name | MARGARET JORGENSEN
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Credential | LPC/MHSP
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Telephone | 901-206-3536
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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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