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NPI 1912158908

NPI 1912158908 : LIFE STRATEGIES COUNSELING, INC. : PARAGOULD, AR

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General NPI Number Information
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    NPI Number           |    1912158908
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    Entity Type          |    Organization 
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    Legal Business Name  |    LIFE STRATEGIES COUNSELING, INC. 
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Dates
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    Enumeration Date     |    10/08/2008
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    Last Update Date     |    03/24/2025
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Provider Practice Location Address
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    Address Line         |    2420 LINWOOD DR STE 1 
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    City                 |    PARAGOULD
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    State                |    AR
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    Zip                  |    72450-6122
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    Country              |    US
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    Telephone            |    870-236-5880
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    Fax                  |    870-236-5757
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Provider Business Mailing Address
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    Address Line         |    2809 FOREST HOME RD 
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    City                 |    JONESBORO
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    State                |    AR
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    Zip                  |    72401-5320
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    Country              |    US
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    Telephone            |    866-972-1268
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    Fax                  |    870-934-0847
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     JAVIER  MALAVE 
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    Credential           |    
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    Telephone            |    904-605-4986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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