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General NPI Number Information
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NPI Number | 1538764865
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Entity Type | Individual
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Provider Name | TINA CURTIS LPC
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Gender | Female
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Dates
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Enumeration Date | 12/03/2020
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 11092 PRAIRIE LN
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City | DARDANELLE
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State | AR
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Zip | 72834-8533
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Country | US
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Telephone | 479-886-3051
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Fax |
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Provider Business Mailing Address
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Address Line | 104 LOCK AND DAM RD
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City | RUSSELLVILLE
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State | AR
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Zip | 72802-9725
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Country | US
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Telephone | 479-747-5222
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | A2011177
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | P2210012
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License Number State | AR
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