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General NPI Number Information
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NPI Number | 1386153393
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Entity Type | Individual
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Provider Name | MELISSA CHAMBERS LPC
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Gender | Female
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Dates
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Enumeration Date | 09/21/2017
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 513 MAIN ST
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72114-5329
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Country | US
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Telephone | 501-777-5969
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Fax |
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Provider Business Mailing Address
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Address Line | 1195 F G JONES RD
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City | MALVERN
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State | AR
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Zip | 72104-7382
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Country | US
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Telephone | 870-310-8214
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | P2412019
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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