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General NPI Number Information
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NPI Number | 1639058217
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Entity Type | Organization
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Legal Business Name | KERI L TIMMONS MS LPC NCC LICENSED PROFESSIONAL COUNSELING
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 221 LEE TOWN RD
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City | PEA RIDGE
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State | AR
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Zip | 72751-3203
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Country | US
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Telephone | 479-925-0164
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Fax | 479-385-7050
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Provider Business Mailing Address
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Address Line | 1500 CHITWOOD ST
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City | PEA RIDGE
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State | AR
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Zip | 72751-2766
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Country | US
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Telephone | 479-925-0164
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Fax | 479-385-7050
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Authorized Official
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Title or Position | OWNER/LICENSED PROFESSIOAL COUNSELO
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Name | MS. KERI L TIMMONS
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Credential | MS, LPC, NCC
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Telephone | 479-925-0164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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