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General NPI Number Information
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NPI Number | 1619774411
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Entity Type | Organization
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Legal Business Name | MATRIX BEHAVIORAL COUNSELING PLC
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 503 W MAIN ST
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City | MOUNTAIN VIEW
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State | AR
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Zip | 72560-9167
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Country | US
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Telephone | 870-269-1337
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 390
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City | MOUNTAIN VIEW
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State | AR
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Zip | 72560-0390
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Country | US
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Telephone | 870-269-1337
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Fax | 870-269-1338
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | WILLIAM NESBITT
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Credential | LMSW
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Telephone | 870-269-1337
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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 |
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License Number State |
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