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General NPI Number Information
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NPI Number | 1801456850
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Entity Type | Organization
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Legal Business Name | ALIGN COUNSELING & WELLNESS
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Dates
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Enumeration Date | 06/20/2019
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 523 LOCUST AVE
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City | CONWAY
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State | AR
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Zip | 72034-5324
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Country | US
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Telephone | 501-208-8062
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Fax | 501-208-8062
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Provider Business Mailing Address
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Address Line | 523 LOCUST AVE
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City | CONWAY
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State | AR
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Zip | 72034-5324
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Country | US
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Telephone | 501-208-8062
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Fax |
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | KEVIN NATHANIEL PHELPS SPURGERS
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Credential | MS, LPC, NCC, TA
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Telephone | 501-208-8062
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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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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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