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General NPI Number Information
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NPI Number | 1689877862
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Entity Type | Organization
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Legal Business Name | LIVING HOPE SOUTHEAST, LLC
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 555 W GAINES ST
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City | MONTICELLO
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State | AR
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Zip | 71655-4637
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Country | US
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Telephone | 870-224-7100
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Fax | 870-224-0373
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Provider Business Mailing Address
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Address Line | 555 W GAINES ST
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City | MONTICELLO
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State | AR
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Zip | 71655-4637
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Country | US
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Telephone | 870-224-7100
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Fax | 870-224-0373
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LYNNE LINDSAY
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Credential |
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Telephone | 870-224-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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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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