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General NPI Number Information
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NPI Number | 1255097218
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Entity Type | Organization
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Legal Business Name | THE VISION PROJECT, LLC
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Dates
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Enumeration Date | 11/15/2021
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Last Update Date | 11/15/2021
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Provider Practice Location Address
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Address Line | 217 W 2ND ST STE 207
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City | LITTLE ROCK
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State | AR
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Zip | 72201-2521
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Country | US
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Telephone | 501-551-3669
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Fax |
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Provider Business Mailing Address
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Address Line | 20 CHICAGO ST
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City | LITTLE ROCK
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State | AR
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Zip | 72206-3612
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Country | US
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Telephone | 501-551-3669
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Fax |
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Authorized Official
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Title or Position | LICENSED THERAPIST
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Name | MARIAH BROWN
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Credential | MS, LPC
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Telephone | 501-551-3669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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