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General NPI Number Information
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NPI Number | 1417514555
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Entity Type | Organization
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Legal Business Name | MERRIOTT COUNSELING SERVICES, PLLC.
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Dates
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Enumeration Date | 05/23/2019
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Last Update Date | 09/04/2019
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Provider Practice Location Address
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Address Line | 1401 MALVERN AVE STE 140
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City | HOT SPRINGS
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State | AR
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Zip | 71901-6378
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Country | US
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Telephone | 501-881-4442
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Fax |
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Provider Business Mailing Address
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Address Line | 202 N MOORE RD
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City | HOT SPRINGS
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State | AR
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Zip | 71913-9020
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Country | US
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Telephone | 501-545-1920
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHELLE MERRIOTT
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Credential |
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Telephone | 501-881-4442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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