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General NPI Number Information
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NPI Number | 1215849757
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Entity Type | Organization
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Legal Business Name | EARTHEN VESSEL COUNSELING PLLC
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 1 W MOUNTAIN ST STE 306
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City | FAYETTEVILLE
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State | AR
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Zip | 72701-6068
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Country | US
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Telephone | 479-283-7126
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Fax |
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Provider Business Mailing Address
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Address Line | 505 LAKE RD
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City | SPRINGDALE
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State | AR
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Zip | 72764-2509
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Country | US
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Telephone | 479-283-7126
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DINA LYNN WELSH
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Credential | LPC,LMFT
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Telephone | 479-283-7126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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