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General NPI Number Information
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NPI Number | 1982296596
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Entity Type | Organization
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Legal Business Name | PEACE AND SERENITY COUNSELING INC
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Dates
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Enumeration Date | 02/04/2021
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Last Update Date | 02/04/2021
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Provider Practice Location Address
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Address Line | 5975 NW 55TH LN
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City | TAMARAC
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State | FL
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Zip | 33319-2427
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Country | US
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Telephone | 786-717-8255
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Fax |
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Provider Business Mailing Address
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Address Line | 5975 NW 55TH LN
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City | TAMARAC
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State | FL
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Zip | 33319-2427
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Country | US
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Telephone | 786-717-8255
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALICIA DOYLE
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Credential | LMHC
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Telephone | 954-786-7178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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