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General NPI Number Information
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NPI Number | 1356541312
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Entity Type | Organization
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Legal Business Name | ISAIAH INSPIRED, PLC
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 07/18/2007
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Provider Practice Location Address
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Address Line | 415 N MCKINLEY ST STE 210
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City | LITTLE ROCK
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State | AR
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Zip | 72205-3265
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Country | US
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Telephone | 501-765-7617
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Fax | 501-227-0493
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Provider Business Mailing Address
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Address Line | 415 N MCKINLEY ST STE 210
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City | LITTLE ROCK
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State | AR
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Zip | 72205-3265
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Country | US
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Telephone | 501-765-7617
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Fax | 501-227-0493
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Authorized Official
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Title or Position | MENTAL HEALTH PRACTITIONER
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Name | MRS. JOYCE SHANETTA WESLEY
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Credential | LCSW
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Telephone | 501-765-7617
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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 | 1876
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License Number State | AR
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