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General NPI Number Information
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NPI Number | 1578235156
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Entity Type | Organization
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Legal Business Name | COMPLETE PEACE, PLLC
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Dates
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Enumeration Date | 10/01/2021
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 212 S GROVE ST STE F
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-4006
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Country | US
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Telephone | 828-489-1886
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Fax | 844-234-7856
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Provider Business Mailing Address
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Address Line | PO BOX 135
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City | BAT CAVE
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State | NC
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Zip | 28710-0135
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Country | US
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Telephone | 828-222-7949
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Fax | 844-234-7856
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | SARA REBEKAH WHITLEY
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Credential | LCSW
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Telephone | 828-489-1886
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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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