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General NPI Number Information
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NPI Number | 1962076364
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Entity Type | Organization
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Legal Business Name | BEYOND NAE-TIVE COUNSELING, LLC
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 2713 SE I ST STE 7
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City | BENTONVILLE
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State | AR
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Zip | 72712-0078
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Country | US
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Telephone | 479-966-1776
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Fax |
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Provider Business Mailing Address
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Address Line | 1202 NE MCCLAIN RD BLDG 7 SUITE 158
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City | BENTONVILLE
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State | AR
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Zip | 72712-3875
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Country | US
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Telephone | 479-308-8457
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINNEA HEINTZ
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Credential | PHD, LPC, CRC, DT
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Telephone | 479-308-8457
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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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