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General NPI Number Information
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NPI Number | 1962026203
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Entity Type | Individual
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Provider Name | SARAH GASAWAY LPC
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Gender | Female
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Dates
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Enumeration Date | 06/02/2020
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 6601 WEST 12TH STREET
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City | LITTLE ROCK
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State | AR
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Zip | 72204-1513
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Country | US
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Telephone | 501-666-8686
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Fax | 501-660-6829
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Provider Business Mailing Address
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Address Line | P. O. BOX 251970
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City | LITTLE ROCK
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State | AR
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Zip | 72225-1970
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Country | US
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Telephone | 501-666-8686
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Fax | 501-660-6830
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | P2503025
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A2303013
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License Number State | AR
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