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General NPI Number Information
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NPI Number | 1154995249
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Entity Type | Organization
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Legal Business Name | THE ART OF HEALING
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Dates
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Enumeration Date | 05/13/2021
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Last Update Date | 05/13/2021
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Provider Practice Location Address
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Address Line | 103 S CHURCH ST STE 1
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City | JONESBORO
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State | AR
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Zip | 72401-2918
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Country | US
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Telephone | 870-336-7897
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Fax | 870-336-1628
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Provider Business Mailing Address
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Address Line | 103 S CHURCH ST STE 1
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City | JONESBORO
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State | AR
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Zip | 72401-2918
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Country | US
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Telephone | 870-336-7897
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Fax | 870-336-1628
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | ANGELA STILLWELL
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Credential | LPC-S
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Telephone | 870-336-7897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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