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General NPI Number Information
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NPI Number | 1215750427
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Entity Type | Organization
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Legal Business Name | OUACHITA HEALING COUNSELING LLC
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 3906 HIGHWAY 375 W
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City | MENA
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State | AR
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Zip | 71953-7529
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Country | US
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Telephone | 479-437-4070
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 444
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City | MENA
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State | AR
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Zip | 71953-0444
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Country | US
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Telephone | 479-588-1799
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | DARLENA COCHRAN
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Credential | LCSW
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Telephone | 479-437-4070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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