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General NPI Number Information
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NPI Number | 1922743590
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Entity Type | Organization
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Legal Business Name | PRESERVING MY PEACE MENTAL HEALTH SOLUTIONS L.L.C.
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Dates
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Enumeration Date | 04/28/2022
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Last Update Date | 04/28/2022
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Provider Practice Location Address
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Address Line | 2169 BALMORAL AVE
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City | UNION
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State | NJ
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Zip | 07083-5201
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Country | US
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Telephone | 908-451-8857
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Fax |
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Provider Business Mailing Address
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Address Line | 2933 VAUXHALL ROAD SUITE 7 #1006
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City | VAUXHALL
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State | NJ
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Zip | 07088
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Country | US
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Telephone | 908-248-2857
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. STEPHANIE SCOTT
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Credential | LCSW
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Telephone | 908-451-8857
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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