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General NPI Number Information
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NPI Number | 1578430120
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Entity Type | Organization
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Legal Business Name | KALI WELLNESS SERVICES LLC
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 700 ROCK ST STE 9
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City | LITTLE ROCK
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State | AR
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Zip | 72202-2519
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Country | US
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Telephone | 501-454-5697
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Fax | 501-588-7469
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Provider Business Mailing Address
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Address Line | PO BOX 250058
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City | LITTLE ROCK
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State | AR
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Zip | 72225-0058
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Country | US
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Telephone | 501-454-5697
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Fax | 501-588-7469
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MS. THERESE MARIE SKINNER
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Credential | LICSW
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Telephone | 501-454-5697
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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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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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