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General NPI Number Information
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NPI Number | 1659935112
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Entity Type | Organization
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Legal Business Name | A PEACE OF MIND COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 04/30/2019
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Last Update Date | 06/14/2022
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Provider Practice Location Address
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Address Line | 713 TWINRIDGE LANE
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City | RICHMOND
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State | VA
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Zip | 23235-5720
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Country | US
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Telephone | 804-277-9551
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Fax | 804-442-7101
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Provider Business Mailing Address
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Address Line | 7316 JACKSON ARCH DR
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-4721
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Country | US
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Telephone | 804-677-6958
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIA WORKER//OWN
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Name | MS. LATESHA MCINTOSH
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Credential | LCSW
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Telephone | 804-677-6958
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 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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