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General NPI Number Information
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NPI Number | 1881556827
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Entity Type | Individual
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Provider Name | TERENISHA DESHON ALEXANDRIA LOUDERMILK
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Gender | Female
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Dates
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Enumeration Date | 11/28/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 2540 HWY 388
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City | GOULD
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State | AR
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Zip | 71643
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Country | US
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Telephone | 870-850-8666
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Fax |
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Provider Business Mailing Address
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Address Line | 20 PLAINVIEW DR
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City | MC GEHEE
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State | AR
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Zip | 71654-1821
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Country | US
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Telephone | 870-690-7740
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PLMSW
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License Number State | AR
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