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General NPI Number Information
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NPI Number | 1033900113
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Entity Type | Organization
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Legal Business Name | 1821 COUNSELING LLC
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 1103 N ILLINOIS ST STE B
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City | HARRISBURG
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State | AR
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Zip | 72432-3023
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Country | US
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Telephone | 870-931-8412
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Fax |
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Provider Business Mailing Address
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Address Line | 1103 N ILLINOIS ST STE B
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City | HARRISBURG
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State | AR
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Zip | 72432-3023
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Country | US
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Telephone | 870-931-8412
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Fax | 501-833-5012
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Authorized Official
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Title or Position | ADMIN
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Name | MELISSA JOHNSON
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Credential |
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Telephone | 870-931-8412
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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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