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General NPI Number Information
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NPI Number | 1215859996
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Entity Type | Individual
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Provider Name | EMMA KATE PHILLEY MS, LAC
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Gender | Female
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 8869 US-79 N
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City | PINE BLUFF
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State | AR
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Zip | 71603
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Country | US
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Telephone | 501-737-4320
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Fax |
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Provider Business Mailing Address
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Address Line | 921 N CHESTER ST UNIT B
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City | MONTICELLO
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State | AR
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Zip | 71655-4107
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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 |
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Name |
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Credential |
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Telephone |
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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 | A2607004
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License Number State | AR
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