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General NPI Number Information
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NPI Number | 1538674932
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Entity Type | Organization
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Legal Business Name | PATHWAYS COUNSELING, PLLC
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Dates
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Enumeration Date | 12/06/2017
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 900 S SHACKLEFORD RD STE 300
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City | LITTLE ROCK
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State | AR
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Zip | 72211-3848
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Country | US
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Telephone | 870-313-9072
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Fax |
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Provider Business Mailing Address
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Address Line | 5540 LEXINGTON AVE
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City | BENTON
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State | AR
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Zip | 72019-1834
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Country | US
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Telephone | 870-313-9072
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NATASSIA NICHOLE WEATHERLY
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Credential | LPC
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Telephone | 870-313-9072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | P1202024
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License Number State | AR
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