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General NPI Number Information
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NPI Number | 1013213008
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Entity Type | Organization
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Legal Business Name | RHO MENTAL HEALTH,LLC
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Dates
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Enumeration Date | 02/08/2011
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Last Update Date | 11/14/2016
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Provider Practice Location Address
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Address Line | 63035 COMMERCIAL ST
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City | ROSELAND
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State | LA
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Zip | 70456-3616
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Country | US
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Telephone | 985-748-8411
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Fax | 866-931-3991
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Provider Business Mailing Address
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Address Line | 501 FORSHAG LN
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City | AMITE
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State | LA
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Zip | 70422-8122
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Country | US
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Telephone | 985-747-8769
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Fax | 866-931-3991
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Authorized Official
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Title or Position | LCSW
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Name | MS. JACKIE BADON
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Credential | LCSW
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Telephone | 985-748-8411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1927
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License Number State | LA
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