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General NPI Number Information
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NPI Number | 1730575077
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Entity Type | Organization
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Legal Business Name | ROADMAPS TO RECOVERY COUNSELING SERVICES OF MIDSOUTH
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Dates
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Enumeration Date | 04/14/2015
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Last Update Date | 04/14/2015
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Provider Practice Location Address
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Address Line | 162 W MILITARY ROAD
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City | MARION
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State | AR
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Zip | 72364
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Country | US
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Telephone | 901-270-7361
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 38741
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City | GERMANTOWN
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State | TN
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Zip | 38183-0741
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Country | US
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Telephone | 901-270-7361
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. NATASHA HARRIS
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Credential | LPC
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Telephone | 901-270-7361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | P1006039
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License Number State | AR
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