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General NPI Number Information
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NPI Number | 1881540110
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Entity Type | Organization
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Legal Business Name | LIFE FORCE THERAPY, A LICENSED CLINICAL SOCIAL WORK PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 4001 W END RD STE 3
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City | ARCATA
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State | CA
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Zip | 95521-9628
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Country | US
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Telephone | 707-502-2905
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Fax |
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Provider Business Mailing Address
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Address Line | 4001 W END RD STE 3
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City | ARCATA
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State | CA
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Zip | 95521-9628
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Country | US
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Telephone | 707-502-2905
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Fax |
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Authorized Official
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Title or Position | FOUNDER/SUPERVISING CLINICIAN
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Name | EDWARD PECK
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Credential | LCSW
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Telephone | 707-502-2905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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 | 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 #3
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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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