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NPI 1407679939

NPI 1407679939 : ABUNDANCE COUNSELING LLC : FAYETTEVILLE, AR

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General NPI Number Information
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    NPI Number           |    1407679939
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    Entity Type          |    Organization 
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    Legal Business Name  |    ABUNDANCE COUNSELING LLC 
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Dates
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    Enumeration Date     |    11/04/2024
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    Last Update Date     |    09/03/2025
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Provider Practice Location Address
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    Address Line         |    19 E MOUNTAIN ST 
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    City                 |    FAYETTEVILLE
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    State                |    AR
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    Zip                  |    72701-6067
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    Country              |    US
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    Telephone            |    501-500-2416
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    19 E MOUNTAIN ST 
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    City                 |    FAYETTEVILLE
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    State                |    AR
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    Zip                  |    72701-6067
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    Country              |    US
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    Telephone            |    501-500-2416
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SARAH  DANIELS 
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    Credential           |    LPC
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    Telephone            |    501-529-8269
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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