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Organization
INNER PEACE PATHWAYS LLC
Active
Organization
INNER PEACE PATHWAYS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVETTE GOODMAN GRAHAM PMHNP-BC (CEO)
(201) 616-8181
Entity
Organization
Contact information
Practice address
1133 SOUTH BLVD APT 901, OAK PARK, IL 60302-4279
(201) 616-8181
Mailing address
7627 LAKE ST STE 206, RIVER FOREST, IL 60305-1878
(201) 616-8181
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/04/2026
Last updated
09/04/2026
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