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General NPI Number Information
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NPI Number | 1689038309
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Entity Type | Organization
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Legal Business Name | PEAKS VIEW COUNSELING, PLLC
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Dates
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Enumeration Date | 04/08/2016
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Last Update Date | 04/08/2016
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Provider Practice Location Address
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Address Line | 800 BLUE RIDGE AVE SUITE A
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City | BEDFORD
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State | VA
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Zip | 24523-2429
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Country | US
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Telephone | 540-587-5852
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Fax | 540-586-3529
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Provider Business Mailing Address
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Address Line | 1362 JEFFERSON WAY
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City | FOREST
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State | VA
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Zip | 24551-4579
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Country | US
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Telephone | 434-851-4855
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Fax | 434-608-0510
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Authorized Official
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Title or Position | MEMBER
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Name | MS. PAMELA KAYE SMITH
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Credential | LPC, CEAP
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Telephone | 434-851-4855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 0701006200
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License Number State | VA
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