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General NPI Number Information
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NPI Number | 1275181216
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Entity Type | Organization
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Legal Business Name | NC COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 09/03/2019
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Last Update Date | 09/26/2022
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Provider Practice Location Address
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Address Line | 1150 E MATTHEWS AVE STE 203
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City | JONESBORO
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State | AR
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Zip | 72401-4345
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Country | US
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Telephone | 870-926-2949
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Fax | 844-232-7847
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Provider Business Mailing Address
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Address Line | 241 COUNTY ROAD 130
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City | BONO
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State | AR
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Zip | 72416-8283
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Country | US
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Telephone | 870-926-2949
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Fax | 844-232-7847
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Authorized Official
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Title or Position | CO-OWNER/THERAPIST
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Name | CASIE M HAGANS
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Credential | LCSW
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Telephone | 870-926-2949
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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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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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