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General NPI Number Information
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NPI Number | 1447104922
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Entity Type | Organization
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Legal Business Name | FEARLESS THERAPY LLC
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 1949 N GREEN ACRES RD STE B
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-2691
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Country | US
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Telephone | 479-332-3653
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Fax |
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Provider Business Mailing Address
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Address Line | 1949 N GREEN ACRES RD STE B
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-2691
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Country | US
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Telephone | 479-332-3653
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Fax |
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Authorized Official
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Title or Position | CLINICIAN, OWNER
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Name | RACHEL WIRTH
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Credential | MS, EDS, LPC, WFR
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Telephone | 479-332-3653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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