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General NPI Number Information
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NPI Number | 1427907880
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Entity Type | Organization
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Legal Business Name | ACSEND AND EVOLVE MENTAL HEALTH
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 504 GARRISON AVE
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City | FORT SMITH
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State | AR
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Zip | 72901-2507
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Country | US
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Telephone | 918-291-3956
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Fax |
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Provider Business Mailing Address
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Address Line | 17007 WILES RD
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City | HEAVENER
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State | OK
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Zip | 74937-9302
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Country | US
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Telephone | 918-291-2956
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LERIA WARD
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Credential | NCCS
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Telephone | 918-291-3956
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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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