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General NPI Number Information
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NPI Number | 1912403585
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Entity Type | Organization
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Legal Business Name | PEACE OF MIND COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 04/03/2018
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Last Update Date | 04/03/2018
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Provider Practice Location Address
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Address Line | 4150 ALEXANDRIA PIKE STE 119
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City | COLD SPRING
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State | KY
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Zip | 41076-3529
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Country | US
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Telephone | 859-360-0099
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Fax |
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Provider Business Mailing Address
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Address Line | 4150 ALEXANDRIA PIKE STE 119
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City | COLD SPRING
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State | KY
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Zip | 41076-3529
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Country | US
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Telephone | 859-360-0099
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MRS. EILEEN MOORE
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Credential | LPCC-S
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Telephone | 859-360-0099
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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 | 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 #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 | 104100000X
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Taxonomy Name | Social Worker
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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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Taxonomy #6
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #7
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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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