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General NPI Number Information
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NPI Number | 1699594119
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Entity Type | Organization
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Legal Business Name | CONFIDENTIAL COUNSELING LLC
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Dates
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Enumeration Date | 10/10/2024
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 49 NARROWS RIDGE RD
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City | HIGDEN
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State | AR
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Zip | 72067-8036
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Country | US
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Telephone | 501-206-4498
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 282
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City | HIGDEN
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State | AR
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Zip | 72067-0282
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Country | US
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Telephone | 501-206-4498
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Fax | 501-298-1558
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Authorized Official
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Title or Position | INCORPORATOR/ORGANIZER
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Name | LAURA N HALL
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Credential | LPC
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Telephone | 501-467-5798
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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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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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