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General NPI Number Information
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NPI Number | 1972640951
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Entity Type | Individual
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Provider Name | CARRIE LYNN RYE LPC
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 160 E POPLAR ST STE B
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-2574
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Country | US
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Telephone | 479-283-7759
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Fax | 479-249-8661
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Provider Business Mailing Address
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Address Line | 160 E POPLAR ST. STE. B
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-2574
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Country | US
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Telephone | 479-283-7759
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Fax | 479-249-8661
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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 | P0506040
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License Number State | AR
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