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General NPI Number Information
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NPI Number | 1992517239
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Entity Type | Organization
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Legal Business Name | PARAMOUNT MENTAL HEALTH COUNSELING LLC
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 2940 E PARK AVE STE C
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City | TALLAHASSEE
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State | FL
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Zip | 32301-3448
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Country | US
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Telephone | 850-792-7502
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Fax | 850-807-5318
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Provider Business Mailing Address
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Address Line | 3501 S BLAIR STONE RD APT 716
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City | TALLAHASSEE
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State | FL
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Zip | 32301-6991
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Country | US
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Telephone | 321-431-1071
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Fax | 850-807-5318
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Authorized Official
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Title or Position | CEO/FOUNDER
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Name | BRIANNA PEEK
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Credential | LCSW
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Telephone | 321-431-1071
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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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