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General NPI Number Information
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NPI Number | 1699688622
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Entity Type | Organization
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Legal Business Name | FINISH LINE THERAPY LLC
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Dates
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Enumeration Date | 09/22/2026
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Last Update Date | 09/22/2026
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Provider Practice Location Address
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Address Line | 101A W CENTRAL ST
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City | WARREN
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State | AR
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Zip | 71671-2823
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Country | US
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Telephone | 870-820-9060
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Fax |
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Provider Business Mailing Address
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Address Line | 101A W CENTRAL ST
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City | WARREN
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State | AR
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Zip | 71671-2823
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SCOTT ALLISON RICHARDSON JOHNSON
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Credential | LCSW
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Telephone | 870-820-9060
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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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