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General NPI Number Information
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NPI Number | 1760318778
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Entity Type | Organization
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Legal Business Name | HEART WORK COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 06/18/2026
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Last Update Date | 06/18/2026
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Provider Practice Location Address
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Address Line | 116 N FRONT ST
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City | DARDANELLE
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State | AR
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Zip | 72834-3822
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Country | US
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Telephone | 479-857-8163
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Fax |
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Provider Business Mailing Address
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Address Line | 1816 WILL BAKER RD
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City | LONDON
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State | AR
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Zip | 72847-8710
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Country | US
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Telephone | 479-857-8163
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | CHLOE NICOLE GORDON
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Credential | LCSW
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Telephone | 479-857-8163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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