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General NPI Number Information
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NPI Number | 1619881950
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Entity Type | Organization
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Legal Business Name | INDIGO COUNSELING, LLC
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 3729 N CROSSOVER RD STE 103
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-5538
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Country | US
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Telephone | 479-220-2383
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Fax |
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Provider Business Mailing Address
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Address Line | 23450 COUNTY ROAD 554
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City | COLCORD
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State | OK
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Zip | 74338-4631
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMANDA AMANDA DUNN
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Credential | LCSW
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Telephone | 479-220-2383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | NULL
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