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General NPI Number Information
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NPI Number | 1801336557
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Entity Type | Organization
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Legal Business Name | LESLIE WRIGHT COUNSELING, LLC
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Dates
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Enumeration Date | 02/28/2017
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Last Update Date | 02/28/2017
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Provider Practice Location Address
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Address Line | 641 HIGHWAY 71 N SUITE 5
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City | ALMA
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State | AR
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Zip | 72921-5107
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Country | US
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Telephone | 479-430-3526
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Fax |
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Provider Business Mailing Address
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Address Line | 641 HIGHWAY 71 N SUITE 5
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City | ALMA
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State | AR
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Zip | 72921-5107
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Country | US
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Telephone | 479-430-3526
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MRS. LESLIE MICHELLE WRIGHT
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Credential | LPC
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Telephone | 479-430-3526
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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 | P1512138
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License Number State | AR
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