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General NPI Number Information
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NPI Number | 1780482836
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Entity Type | Organization
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Legal Business Name | PEAK MINDSET LLC
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 9325 OLD MANSION RD, ALEXANDRIA, VA, 22309
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City | ALEXANDRIA,VA
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State | VA
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Zip | 22309
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Country | US
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Telephone | 619-822-7993
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Fax | 619-822-7993
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Provider Business Mailing Address
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Address Line | 8101 CONNECTICUT AVE APT S601
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City | CHEVY CHASE
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State | MD
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Zip | 20815-2809
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Country | US
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Telephone | 619-822-7993
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHAUNDRA ALLEN
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Credential | LCSW-C
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Telephone | 619-822-7993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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