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General NPI Number Information
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NPI Number | 1144705872
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Entity Type | Organization
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Legal Business Name | THE FAMILY INSTITUTE OF ARKANSAS
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Dates
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Enumeration Date | 09/27/2018
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 4 SHACKLEFORD PLZ STE 202A
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City | LITTLE ROCK
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State | AR
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Zip | 72211-1844
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Country | US
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Telephone | 501-588-7800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 22205
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City | LITTLE ROCK
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State | AR
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Zip | 72221-2205
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Country | US
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Telephone | 501-588-7800
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Fax | 501-588-0277
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MRS. MICHELLE STACY COLEMAN
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Credential | LPC
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Telephone | 501-588-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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