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General NPI Number Information
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NPI Number | 1295550499
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Entity Type | Organization
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Legal Business Name | WILLOWS THERAPY
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 556 W SCHOOL ST STE 6
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City | BROOKLAND
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State | AR
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Zip | 72417-9171
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Country | US
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Telephone | 870-200-9299
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Fax |
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Provider Business Mailing Address
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Address Line | 6538 HIGHWAY 141 N
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City | JONESBORO
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State | AR
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Zip | 72401-0321
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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 | OWNER/ADMINISTRATIVE DIRECTOR
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Name | BELINDA BAXLEY
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Credential |
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Telephone | 870-200-9299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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