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General NPI Number Information
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NPI Number | 1124694245
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Entity Type | Organization
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Legal Business Name | SARA KING COUNSELING LLC
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Dates
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Enumeration Date | 05/29/2021
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Last Update Date | 02/22/2024
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Provider Practice Location Address
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Address Line | 5212 W VILLAGE PKWY STE 1
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City | ROGERS
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State | AR
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Zip | 72758-8190
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Country | US
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Telephone | 479-544-0191
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Fax | 479-239-8523
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Provider Business Mailing Address
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Address Line | 63 WENTWORTH DR
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City | BELLA VISTA
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State | AR
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Zip | 72715-6514
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Country | US
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Telephone | 479-544-0191
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Fax | 479-239-8523
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MRS. SARA KING
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Credential | LPC
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Telephone | 479-544-0191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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