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General NPI Number Information
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NPI Number | 1023971876
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Entity Type | Organization
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Legal Business Name | SAGELY COUNSELING AND COACHING, PLLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 329 N GARNETT CT
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City | FAYETTEVILLE
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State | AR
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Zip | 72701-7583
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Country | US
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Telephone | 479-310-5483
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Fax | 479-310-5483
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Provider Business Mailing Address
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Address Line | 4021 W WALNUT ST # 1132
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City | ROGERS
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State | AR
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Zip | 72756-1842
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Country | US
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Telephone | 479-310-5483
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Fax | 479-397-3710
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Authorized Official
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Title or Position | CEO/MANAGING DIRECTOR
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Name | JOANNA RUSSELL
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Credential | LCSW
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Telephone | 479-310-5483
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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