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General NPI Number Information
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NPI Number | 1891456612
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Entity Type | Organization
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Legal Business Name | EMILY STELL LPC
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Dates
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Enumeration Date | 01/04/2022
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 821 N MAIN ST
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City | MONTICELLO
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State | AR
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Zip | 71655-4143
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Country | US
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Telephone | 870-723-6845
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Fax |
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Provider Business Mailing Address
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Address Line | 463 HIGHWAY 293
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City | TILLAR
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State | AR
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Zip | 71670-9413
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Country | US
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Telephone | 870-723-6845
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Fax |
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Authorized Official
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Title or Position | LPC
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Name | EMILY STELL
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Credential |
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Telephone | 870-723-6845
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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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