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General NPI Number Information
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NPI Number | 1619839511
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Entity Type | Organization
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Legal Business Name | ORGANIZED PEACE OF MIND (OPOM) WELLNESS, PLLC
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Dates
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Enumeration Date | 11/29/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 7 E MARKET ST STE 103
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City | YORK
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State | PA
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Zip | 17401-1205
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Country | US
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Telephone | 717-688-6568
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Fax |
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Provider Business Mailing Address
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Address Line | 7 E MARKET ST STE 103
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City | YORK
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State | PA
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Zip | 17401-1205
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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
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Name | KIARA-BREIA LOUISE HICKS-LYLES
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Credential | CRNP, PMHNP-BC
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Telephone | 717-688-6568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #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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