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General NPI Number Information
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NPI Number | 1992670723
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Entity Type | Organization
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Legal Business Name | PEACE OF MIND BEHAVIORAL HEALTH SOLUTIONS LLC
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Dates
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Enumeration Date | 10/09/2025
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 220 HARTFORD TPKE
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City | VERNON
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State | CT
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Zip | 06066-4700
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Country | US
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Telephone | 860-281-3212
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Fax | 860-783-8055
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Provider Business Mailing Address
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Address Line | 51 RANGE HILL DR
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City | VERNON
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State | CT
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Zip | 06066-2815
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Country | US
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Telephone | 860-281-3212
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Fax | 860-783-8055
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH RAUL PADILLA JR.
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Credential | MSN, APRN, PMHNP-BC
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Telephone | 860-281-3212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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