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General NPI Number Information
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NPI Number | 1922545029
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Entity Type | Organization
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Legal Business Name | GRETTA MEEKER COUNSELING INC
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Dates
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Enumeration Date | 01/26/2017
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Last Update Date | 01/26/2017
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Provider Practice Location Address
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Address Line | 2105 S 54TH ST STE 2
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City | ROGERS
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State | AR
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Zip | 72758-8191
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Country | US
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Telephone | 479-268-4557
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Fax |
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Provider Business Mailing Address
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Address Line | 115 S GARRETT ST
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City | SILOAM SPRINGS
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State | AR
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Zip | 72761-3137
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Country | US
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Telephone | 850-982-3549
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MRS. GRETTA L MEEKER
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Credential | LPC
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Telephone | 850-982-3549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | P1701222
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License Number State | AR
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