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General NPI Number Information
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NPI Number | 1821816810
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Entity Type | Organization
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Legal Business Name | KOS HOUSE THERAPY, PLLC
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 2700 SE OTIS CORLEY DR STE 14
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City | BENTONVILLE
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State | AR
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Zip | 72712-4184
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Country | US
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Telephone | 479-895-1313
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Fax | 479-397-4813
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Provider Business Mailing Address
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Address Line | 2700 SE OTIS CORLEY DR STE 14
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City | BENTONVILLE
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State | AR
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Zip | 72712-4184
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Country | US
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Telephone | 479-895-1313
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Fax | 479-397-4813
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Authorized Official
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Title or Position | OWNER/ MENTAL HEALTH PROFESSIONAL
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Name | KENDYL DAWN HOVIS
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Credential | LPC-S
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Telephone | 479-895-1313
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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 |
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License Number State |
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