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Organization
AT PEACE LLC
Active
Organization
AT PEACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE FLORES (MEMBER)
(219) 218-1005
Entity
Organization
Contact information
Practice address
417 N MAIN ST STE 101, CROWN POINT, IN 46307-3252
(219) 218-1005
Mailing address
PO BOX 683, SAINT JOHN, IN 46373-0683
(219) 218-1005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356968499
NPPES
—
Enumeration date
07/08/2022
Last updated
02/10/2025
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