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General NPI Number Information
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NPI Number | 1841087111
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Entity Type | Organization
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Legal Business Name | ARKANSAS HEALING SPACE, PLLC
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 203 LILLIAN
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City | BENTON
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State | AR
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Zip | 72015-3851
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Country | US
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Telephone | 501-515-2127
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 778
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City | BENTON
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State | AR
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Zip | 72018-0778
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Country | US
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Telephone | 501-515-2127
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | GISHEERA RARDIN
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Credential | LCSW
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Telephone | 501-515-2127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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