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General NPI Number Information
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NPI Number | 1124616867
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Entity Type | Organization
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Legal Business Name | SEED OF FAITH COUNSELING & SERVICES, LLC
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Dates
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Enumeration Date | 01/07/2021
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Last Update Date | 01/07/2021
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Provider Practice Location Address
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Address Line | 10515 W MARKHAM ST STE I6
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City | LITTLE ROCK
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State | AR
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Zip | 72205-2283
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Country | US
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Telephone | 501-503-1154
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Fax |
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Provider Business Mailing Address
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Address Line | 10515 W MARKHAM ST STE I6
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City | LITTLE ROCK
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State | AR
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Zip | 72205-2283
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Country | US
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Telephone | 501-503-1154
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Fax |
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Authorized Official
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Title or Position | OWNER/LEAD THERAPIST
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Name | DR. THERESA FLOWERS
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Credential | LCSW, PHD
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Telephone | 501-503-1154
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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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