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General NPI Number Information
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NPI Number | 1912688813
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Entity Type | Organization
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Legal Business Name | DIVINE LIGHT COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 07/25/2023
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 143 HIGHWAY 463 N
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City | TRUMANN
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State | AR
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Zip | 72472-3501
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Country | US
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Telephone | 870-568-1286
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Fax | 870-301-2707
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Provider Business Mailing Address
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Address Line | 319 S CHURCH ST STE 104
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City | JONESBORO
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State | AR
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Zip | 72401-2913
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Country | US
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Telephone | 870-568-1286
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Fax | 870-301-2707
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. HOLLI B SHELTON
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Credential | LPC
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Telephone | 870-568-1286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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