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General NPI Number Information
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NPI Number | 1790647824
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Entity Type | Organization
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Legal Business Name | OPEN ARMS LLC
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 3704 S CARAWAY RD STE 5
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City | JONESBORO
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State | AR
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Zip | 72404-0754
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Country | US
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Telephone | 87-091-9563
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Fax |
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Provider Business Mailing Address
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Address Line | 3704 S CARAWAY RD STE 5
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City | JONESBORO
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State | AR
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Zip | 72404-0754
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Country | US
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Telephone | 87-091-9563
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR (LP
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Name | ERICA WALTER
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Credential |
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Telephone | 870-707-1467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral 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 | 261QC0050X
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Taxonomy Name | Critical Access Hospital Clinic/Center
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #4
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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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