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General NPI Number Information
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NPI Number | 1871020628
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Entity Type | Organization
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Legal Business Name | TURNING LEAF COUNSELING
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 10/29/2019
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Provider Practice Location Address
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Address Line | 711 CANAL AVE. E.
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City | WYNNE
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State | AR
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Zip | 72396-3004
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Country | US
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Telephone | 870-587-7020
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Fax | 870-587-7020
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Provider Business Mailing Address
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Address Line | 4 WYNNEWOOD DR. N.
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City | WYNNE
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State | AR
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Zip | 72396-3004
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Country | US
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Telephone | 870-587-7020
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Fax | 870-587-7020
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Authorized Official
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Title or Position | PSYCHOLOGIST/OWNER
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Name | DR. ELAINE KEMP
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Credential | PSY.D.
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Telephone | 870-587-7020
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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 | 05-02P
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License Number State | AR
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Taxonomy #2
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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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