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General NPI Number Information
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NPI Number | 1083221931
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Entity Type | Organization
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Legal Business Name | SMITH COUNSELING CENTER
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Dates
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Enumeration Date | 09/24/2020
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Last Update Date | 09/24/2020
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Provider Practice Location Address
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Address Line | 517 SOUTHWEST DR STE H
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City | JONESBORO
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State | AR
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Zip | 72401-5858
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Country | US
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Telephone | 870-243-0560
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Fax |
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Provider Business Mailing Address
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Address Line | 4604 INVERNESS RUN DR
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City | JONESBORO
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State | AR
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Zip | 72405-8056
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Country | US
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Telephone | 870-243-0560
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. TAMMY RENAY SMITH
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Credential | LPC, LADAC
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Telephone | 870-243-0560
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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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