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General NPI Number Information
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NPI Number | 1609255413
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Entity Type | Organization
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Legal Business Name | SMITH COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 05/26/2015
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Last Update Date | 05/26/2015
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Provider Practice Location Address
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Address Line | 1405 N PIERCE ST SUITE 212
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City | LITTLE ROCK
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State | AR
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Zip | 72207-5349
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Country | US
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Telephone | 501-664-0091
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Fax | 501-664-0112
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Provider Business Mailing Address
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Address Line | 1405 N PIERCE ST SUITE 212
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City | LITTLE ROCK
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State | AR
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Zip | 72207-5349
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Country | US
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Telephone | 501-664-0091
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Fax | 501-664-0112
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MRS. BRITTANY STEWART SMITH
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Credential | L.C.S.W.
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Telephone | 501-664-0091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1984-C
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License Number State | AR
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