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General NPI Number Information
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NPI Number | 1245699636
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Entity Type | Organization
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Legal Business Name | SEEKING SERENITY HOLISTIC THERAPY CENTER
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Dates
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Enumeration Date | 02/15/2016
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Last Update Date | 02/15/2016
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Provider Practice Location Address
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Address Line | 506 HWY 270 E
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City | MT.IDA
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State | AR
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Zip | 71957
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Country | US
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Telephone | 870-557-4888
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1394
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City | MOUNT IDA
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State | AR
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Zip | 71957-1394
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Country | US
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Telephone | 870-557-4888
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. CYNTHIA J CROWSON
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Credential | LCSW
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Telephone | 870-557-4888
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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 | 2472-C
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License Number State | AR
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