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General NPI Number Information
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NPI Number | 1063144392
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Entity Type | Organization
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Legal Business Name | MIND BODY AND SOUL THERAPEUTIC SERVICES LLC
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Dates
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Enumeration Date | 06/27/2022
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 835 CENTRAL AVE STE 512
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City | HOT SPRINGS
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State | AR
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Zip | 71901-5310
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Country | US
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Telephone | 501-547-9273
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Fax | 501-547-3817
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Provider Business Mailing Address
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Address Line | 835 CENTRAL AVE STE 512
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City | HOT SPRINGS
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State | AR
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Zip | 71901-5310
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Country | US
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Telephone | 501-547-9273
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH MESSINA
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Credential | LCSW
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Telephone | 501-547-9273
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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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