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General NPI Number Information
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NPI Number | 1720894603
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Entity Type | Individual
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Provider Name | BETHANY MCGHEHEY M.S., LPE, LAC
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Gender | Female
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 28 W SUNBRIDGE DR
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-1822
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Country | US
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Telephone | 479-301-2284
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Fax |
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Provider Business Mailing Address
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Address Line | 3207 RED FOX RDG
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City | BENTONVILLE
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State | AR
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Zip | 72712-3939
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Country | US
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Telephone | 501-339-3420
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | A2411015
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 202358EX
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License Number State | AR
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