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General NPI Number Information
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NPI Number | 1568806867
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Entity Type | Organization
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Legal Business Name | INFINITE HOPE COUNSELING
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Dates
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Enumeration Date | 04/18/2013
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Last Update Date | 04/18/2013
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Provider Practice Location Address
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Address Line | 4 SHACKLEFORD PLZ SUITE 205
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City | LITTLE ROCK
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State | AR
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Zip | 72211-1826
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Country | US
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Telephone | 501-492-9806
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Fax |
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Provider Business Mailing Address
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Address Line | 30 OLD ORCHARD DR
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City | MABELVALE
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State | AR
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Zip | 72103-2016
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Country | US
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Telephone | 870-723-0080
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | AMBER BAKER
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Credential | LCSW
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Telephone | 501-492-9806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 2410-C
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License Number State | AR
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