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General NPI Number Information
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NPI Number | 1639800618
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Entity Type | Organization
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Legal Business Name | EMPOWERING COUNSEL
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Dates
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Enumeration Date | 06/21/2022
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Last Update Date | 06/21/2022
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Provider Practice Location Address
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Address Line | 8205 HIGHWAY 161
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72117-1808
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Country | US
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Telephone | 501-313-1125
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Fax |
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Provider Business Mailing Address
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Address Line | 8003 MAURICE RD APT C
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72117-1640
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Country | US
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Telephone | 501-398-2100
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | KNIKIAH A. BANKS SR.
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Credential | LPC
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Telephone | 501-313-1125
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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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