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General NPI Number Information
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NPI Number | 1740093129
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Entity Type | Organization
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Legal Business Name | EMBRACING INNER PEACE, P-LLC
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 25870 HETTICK SCOTTVILLE RD
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City | HETTICK
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State | IL
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Zip | 62649-4791
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Country | US
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Telephone | 217-416-0641
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Fax |
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Provider Business Mailing Address
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Address Line | 3309 ROBBINS RD # 590
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City | SPRINGFIELD
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State | IL
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Zip | 62704-6587
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Country | US
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Telephone | 217-408-4530
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Fax | 217-203-2061
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | MARY L BROOKS
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Credential | APRN
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Telephone | 217-416-0641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 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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