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General NPI Number Information
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NPI Number | 1013555242
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Entity Type | Organization
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Legal Business Name | ARCADIA GROUP, LLC
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Dates
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Enumeration Date | 12/18/2019
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 20203 PINEVILLE RD
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City | LONG BEACH
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State | MS
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Zip | 39560-3235
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Country | US
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Telephone | 601-283-8806
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 434
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City | LONG BEACH
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State | MS
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Zip | 39560-0434
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Country | US
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Telephone | 601-862-0526
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ARLIN W LANG
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Credential | LPC
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Telephone | 601-862-0526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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