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NPI 1013677681

NPI 1013677681 : ALISON KAY TUTT LAC : MORRILTON, AR

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General NPI Number Information
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    NPI Number           |    1013677681
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    Entity Type          |    Individual 
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    Provider Name        |    ALISON KAY TUTT LAC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/23/2021
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    Last Update Date     |    12/29/2025
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Provider Practice Location Address
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    Address Line         |    8 HOSPITAL DR 
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    City                 |    MORRILTON
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    State                |    AR
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    Zip                  |    72110-4510
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    Country              |    US
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    Telephone            |    501-354-1561
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    Fax                  |    501-354-1564
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Provider Business Mailing Address
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    Address Line         |    8 HOSPITAL DR 
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    City                 |    MORRILTON
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    State                |    AR
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    Zip                  |    72110-4510
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    Country              |    US
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    Telephone            |    501-354-1561
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    Fax                  |    501-354-1564
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    9175
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    License Number State |    AR
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