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NPI 1801648530

NPI 1801648530 : AMANDA FELHOFER LAC : LITTLE ROCK, AR

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General NPI Number Information
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    NPI Number           |    1801648530
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    Entity Type          |    Individual 
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    Provider Name        |    AMANDA FELHOFER LAC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/04/2024
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    Last Update Date     |    11/21/2025
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Provider Practice Location Address
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    Address Line         |    400 W CAPITOL AVENUE 
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    City                 |    LITTLE ROCK
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    State                |    AR
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    Zip                  |    72201-3436
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    Country              |    US
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    Telephone            |    501-301-0920
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3720 LEE CT 
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    City                 |    JOINT BASE MDL
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    State                |    NJ
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    Zip                  |    08641-1609
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    P2510013
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    License Number State |    AR
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