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General NPI Number Information
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NPI Number | 1770900631
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Entity Type | Organization
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Legal Business Name | PEACEFUL SOLUTIONS COUNSELING INC
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Dates
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Enumeration Date | 03/27/2014
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Last Update Date | 04/01/2021
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Provider Practice Location Address
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Address Line | 5454 NEW CUT RD SUITE 6
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City | LOUISVILLE
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State | KY
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Zip | 40214-4271
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Country | US
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Telephone | 502-333-0218
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Fax | 502-276-3067
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Provider Business Mailing Address
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Address Line | 5454 NEW CUT RD STE 3
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City | LOUISVILLE
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State | KY
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Zip | 40214-4271
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Country | US
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Telephone | 502-333-0218
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Fax | 502-470-3000
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHAWNNA S MILLS
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Credential | LCSW, LCADC
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Telephone | 502-333-0218
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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 |
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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 | 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 #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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