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General NPI Number Information
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NPI Number | 1407663305
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Entity Type | Organization
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Legal Business Name | 201 BEHAVIORAL HEALTH & THERAPY
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Dates
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Enumeration Date | 12/13/2024
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 201 N SLEMONS ST
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City | MONTICELLO
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State | AR
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Zip | 71655-4326
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Country | US
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Telephone | 870-723-9049
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Fax | 870-224-8059
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Provider Business Mailing Address
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Address Line | 201 N SLEMONS ST
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City | MONTICELLO
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State | AR
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Zip | 71655-4326
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Country | US
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Telephone | 870-723-9049
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Fax | 870-224-8059
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Authorized Official
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Title or Position | CEO
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Name | DENISE COURTNEY
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Credential |
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Telephone | 870-723-9049
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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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