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General NPI Number Information
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NPI Number | 1720863608
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Entity Type | Organization
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Legal Business Name | PEACE OF MIND COUNSELING AND CONSULTING, LLC
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Dates
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Enumeration Date | 08/29/2023
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 4200 ENCHANTED CT
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City | NASHVILLE
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State | TN
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Zip | 37218-1827
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Country | US
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Telephone | 615-218-9280
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Fax |
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Provider Business Mailing Address
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Address Line | 4200 ENCHANTED CT
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City | NASHVILLE
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State | TN
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Zip | 37218-1827
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Country | US
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Telephone | 615-218-9280
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DOMINIQUE MILLER
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Credential | LPC
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Telephone | 615-218-9280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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