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General NPI Number Information
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NPI Number | 1457004202
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Entity Type | Organization
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Legal Business Name | TRUE SELF THERAPY, P-LLC
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Dates
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Enumeration Date | 02/01/2022
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 5506 W MARKHAM ST
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City | LITTLE ROCK
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State | AR
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Zip | 72205-3412
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Country | US
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Telephone | 404-808-7511
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Fax | 855-877-0663
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Provider Business Mailing Address
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Address Line | 5506 W MARKHAM ST
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City | LITTLE ROCK
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State | AR
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Zip | 72205-3412
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Country | US
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Telephone | 404-808-7511
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Fax | 855-877-0663
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Authorized Official
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Title or Position | OWNER
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Name | MRS. COURTNEY AMANDA FRIERSON
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Credential | LCSW
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Telephone | 404-808-7511
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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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