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General NPI Number Information
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NPI Number | 1639785124
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Entity Type | Organization
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Legal Business Name | INNER PEACE COUNSELING LLC
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Dates
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Enumeration Date | 09/20/2020
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Last Update Date | 09/20/2020
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Provider Practice Location Address
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Address Line | 7100 CAMINO REAL STE 404
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City | BOCA RATON
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State | FL
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Zip | 33433-5510
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Country | US
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Telephone | 954-557-9830
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Fax |
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Provider Business Mailing Address
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Address Line | 13820 EMERSON ST APT 301
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-6165
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Country | US
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Telephone | 954-557-9830
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNA CIULLA
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Credential | LMHC
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Telephone | 954-557-9830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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