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General NPI Number Information
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NPI Number | 1184552317
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Entity Type | Organization
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Legal Business Name | HEARTSPACE COUNSELING
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Dates
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Enumeration Date | 05/09/2026
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Last Update Date | 05/09/2026
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Provider Practice Location Address
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Address Line | 237 N OAK ST
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City | BROOKLAND
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State | AR
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Zip | 72417-8948
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Country | US
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Telephone | 501-398-2548
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Fax |
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Provider Business Mailing Address
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Address Line | 717 MAIN STREET SUITE 600 PMB 1085
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72114-4658
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAVATRIA WILLIAMSON
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Credential | LCSW
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Telephone | 501-398-2548
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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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