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General NPI Number Information
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NPI Number | 1699530261
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Entity Type | Organization
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Legal Business Name | THE PEACE WELL LLC
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Dates
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Enumeration Date | 02/13/2024
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 7108 PIPPIN RD
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City | CINCINNATI
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State | OH
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Zip | 45239-4605
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Country | US
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Telephone | 513-900-1030
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Fax |
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Provider Business Mailing Address
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Address Line | 7108 PIPPIN RD
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City | CINCINNATI
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State | OH
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Zip | 45239-4605
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Country | US
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Telephone | 513-900-1030
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NICHOLAS HUNTER
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Credential | MA, LPCC
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Telephone | 513-324-7723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 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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Taxonomy #3
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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 #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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