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General NPI Number Information
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NPI Number | 1255723185
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Entity Type | Individual
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Provider Name | KERI L. TIMMONS MS, LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 03/02/2015
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 221 LEE TOWN RD
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City | PEA RIDGE
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State | AR
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Zip | 72751-3203
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Country | US
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Telephone | 479-925-0164
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Fax | 479-385-7050
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Provider Business Mailing Address
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Address Line | 1500 CHITWOOD ST
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City | PEA RIDGE
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State | AR
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Zip | 72751-2766
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Country | US
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Telephone | 479-925-0164
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Fax | 479-385-7050
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | P1203033
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P1203033
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | P1203033
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License Number State | AR
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