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General NPI Number Information
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NPI Number | 1013549500
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Entity Type | Organization
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Legal Business Name | UNSHATTERED COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 02/12/2020
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Last Update Date | 04/05/2021
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Provider Practice Location Address
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Address Line | 400 TEXAS ST STE 1050-04
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City | SHREVEPORT
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State | LA
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Zip | 71101-3525
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Country | US
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Telephone | 318-688-8218
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9042
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City | BOSSIER CITY
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State | LA
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Zip | 71113-9042
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Country | US
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Telephone | 210-284-0143
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Fax |
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | BRITTNEY SCOTT
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Credential | LPC
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Telephone | 318-688-8218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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