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General NPI Number Information
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NPI Number | 1104630946
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Entity Type | Organization
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Legal Business Name | ELIZABETH HALE COUNSELING, LLC
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 835 CENTRAL AVE STE 114
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City | HOT SPRINGS
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State | AR
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Zip | 71901-5301
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Country | US
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Telephone | 501-547-4364
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Fax |
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Provider Business Mailing Address
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Address Line | 117 BRONCO TRL
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City | PEARCY
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State | AR
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Zip | 71964-9369
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | ELIZABETH HALE
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Credential | LCSW
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Telephone | 501-547-4364
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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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