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General NPI Number Information
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NPI Number | 1891950333
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Entity Type | Organization
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Legal Business Name | TEAXARKANA BEHAVIORAL ASSOCIATES, LC
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Dates
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Enumeration Date | 07/24/2008
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1575 HIGHWAY 371 W
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City | NASHVILLE
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State | AR
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Zip | 71852-7598
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Country | US
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Telephone | 870-451-9742
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Fax |
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Provider Business Mailing Address
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Address Line | 4020 ASPEN GROVE DR STE 900
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City | FRANKLIN
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State | TN
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Zip | 37067-3134
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Country | US
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Telephone | 615-861-6000
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT & SECRETARY
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Name | BRIAN P. FARLEY
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Credential |
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Telephone | 615-861-6000
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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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