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General NPI Number Information
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NPI Number | 1588463061
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Entity Type | Organization
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Legal Business Name | ARRAY MENTAL HEALTH COUNSELING SERVICES
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 2108 CROOMS RD
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City | COTTONDALE
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State | FL
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Zip | 32431-7722
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Country | US
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Telephone | 850-209-3182
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 24
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City | COTTONDALE
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State | FL
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Zip | 32431-0024
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Country | US
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Telephone | 850-209-3182
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TARA OSWALD
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Credential | LMHC
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Telephone | 850-209-3182
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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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