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General NPI Number Information
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NPI Number | 1093379950
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Entity Type | Organization
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Legal Business Name | SOLUTIONS COUNSELING GROUP, LLC
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Dates
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Enumeration Date | 04/25/2019
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Last Update Date | 04/25/2019
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Provider Practice Location Address
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Address Line | 7107 W 12TH ST STE 101
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City | LITTLE ROCK
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State | AR
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Zip | 72204-2450
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Country | US
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Telephone | 501-542-5620
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Fax |
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Provider Business Mailing Address
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Address Line | 8509 W MARKHAM ST # 55492
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City | LITTLE ROCK
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State | AR
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Zip | 72205-2432
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Country | US
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Telephone | 501-542-5620
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Fax |
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Authorized Official
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Title or Position | THERAPIST/PART OWNER
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Name | TAMMI LASHAY MOORE
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Credential | LCSW
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Telephone | 501-542-5620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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