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General NPI Number Information
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NPI Number | 1821899329
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Entity Type | Organization
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Legal Business Name | DISCOVERBALANCE THERAPY HUB
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 2790 S 2ND ST STE D
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City | CABOT
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State | AR
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Zip | 72023-7063
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Country | US
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Telephone | 870-904-7124
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Fax |
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Provider Business Mailing Address
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Address Line | 102 HIGH RIDGE DR
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City | LONOKE
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State | AR
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Zip | 72086-3859
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Country | US
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Telephone | 870-904-7124
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Fax |
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Authorized Official
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Title or Position | OWNER/ MENTAL HEALTH THERAPIST
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Name | MRS. RACHEL BROWN
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Credential | LCSW
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Telephone | 870-904-7124
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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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