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General NPI Number Information
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NPI Number | 1679215347
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Entity Type | Organization
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Legal Business Name | BRINGING PEACE COUNSELING PLLC
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Dates
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Enumeration Date | 04/12/2022
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Last Update Date | 06/03/2022
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Provider Practice Location Address
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Address Line | 5974 FASHION POINT DR STE 240
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City | SOUTH OGDEN
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State | UT
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Zip | 84403-4810
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Country | US
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Telephone | 801-628-1762
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Fax |
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Provider Business Mailing Address
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Address Line | 5748 S 2200 W
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City | ROY
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State | UT
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Zip | 84067-1502
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Country | US
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Telephone | 801-628-1762
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Fax | 385-393-8181
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DENICE L PACHECO
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Credential | LCSW
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Telephone | 801-628-1762
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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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