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General NPI Number Information
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NPI Number | 1659077675
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Entity Type | Organization
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Legal Business Name | HEATHER ZELAYA THERAPY PLLC
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Dates
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Enumeration Date | 02/01/2023
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 2894 N MCKEE CIR STE 122
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-3498
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Country | US
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Telephone | 479-310-6886
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Fax | 479-318-1241
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Provider Business Mailing Address
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Address Line | 214 E ADOBE ST
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-3342
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Country | US
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Telephone | 479-799-5992
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HEATHER GAIL ZELAYA
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Credential | LCSW
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Telephone | 479-799-5992
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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 |
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