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General NPI Number Information
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NPI Number | 1831040146
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Entity Type | Organization
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Legal Business Name | CHRISTIAN COUNSELING AND WELLNESS SERVICES, PLLC
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 1693 HIGHWAY 425 SOUTH
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City | MONTICELLO
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State | AR
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Zip | 71655
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Country | US
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Telephone | 870-200-6308
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Fax | 870-200-9438
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Provider Business Mailing Address
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Address Line | 215 E SHELTON AVE
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City | MONTICELLO
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State | AR
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Zip | 71655-4939
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Country | US
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Telephone | 870-200-6308
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Fax | 870-200-9438
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Authorized Official
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Title or Position | OWNER
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Name | TRACEY BRATTON
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Credential | LCSW
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Telephone | 870-200-6308
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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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