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General NPI Number Information
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NPI Number | 1184513467
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Entity Type | Organization
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Legal Business Name | PLAY FORWARD COUNSELING
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 1200 W WALNUT ST STE 1085
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City | ROGERS
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State | AR
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Zip | 72756-3681
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Country | US
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Telephone | 479-345-3651
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Fax | 479-974-2817
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Provider Business Mailing Address
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Address Line | 1200 W WALNUT ST STE 1085
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City | ROGERS
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State | AR
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Zip | 72756-3681
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Country | US
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Telephone | 479-345-3651
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Fax | 479-974-2817
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Authorized Official
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Title or Position | OWNER/LPC
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Name | CHRISTY MILLER
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Credential | LPC
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Telephone | 479-345-3651
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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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