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General NPI Number Information
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NPI Number | 1003616525
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Entity Type | Organization
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Legal Business Name | REACHING MILESTONES CASE MANAGEMENT, LLC
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Dates
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Enumeration Date | 03/14/2025
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 201 VICTORY BLVD SUITE 289
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City | MONROE
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State | LA
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Zip | 71203
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Country | US
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Telephone | 318-732-4151
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Fax |
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Provider Business Mailing Address
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Address Line | 811 CAMP ST
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City | MONROE
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State | LA
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Zip | 71202-4901
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Country | US
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Telephone | 318-801-8828
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | CHARDELL YOUNG
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Credential |
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Telephone | 318-801-8828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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