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General NPI Number Information
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NPI Number | 1841170305
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Entity Type | Organization
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Legal Business Name | ATKISON PSYCHOLOGICAL SERVICES, INC.
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Dates
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Enumeration Date | 09/05/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 2800 BROWNS LN
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City | JONESBORO
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State | AR
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Zip | 72401-7236
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Country | US
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Telephone | 870-501-5060
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Fax | 870-501-5060
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Provider Business Mailing Address
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Address Line | 2800 BROWNS LN
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City | JONESBORO
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State | AR
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Zip | 72401-7236
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Country | US
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Telephone | 870-501-5060
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Fax | 870-501-5060
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Authorized Official
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Title or Position | CLINICIAN/OWNER
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Name | AMANDA BLAIR
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Credential | ED.S, LPC, SPS, NCSP
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Telephone | 870-243-3865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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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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