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General NPI Number Information
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NPI Number | 1831525914
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Entity Type | Organization
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Legal Business Name | SWEET EMOTIONS COUNSELING LLC
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Dates
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Enumeration Date | 09/19/2013
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Last Update Date | 09/10/2014
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Provider Practice Location Address
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Address Line | 1002 SE C ST
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City | BENTONVILLE
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State | AR
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Zip | 72712-6327
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Country | US
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Telephone | 479-271-2120
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Fax |
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Provider Business Mailing Address
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Address Line | 1002 SE C ST
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City | BENTONVILLE
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State | AR
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Zip | 72712
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Country | US
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Telephone | 479-271-2120
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Fax | 479-271-2219
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MATTHEW W LONG
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Credential | MA
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Telephone | 479-271-2120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | AR
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