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General NPI Number Information
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NPI Number | 1043676752
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Entity Type | Individual
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Provider Name | MRS. LAKEISHA MILLER
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Gender | Female
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Dates
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Enumeration Date | 01/11/2016
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Last Update Date | 02/09/2023
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Provider Practice Location Address
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Address Line | 8211 SUMMA AVE STE F
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City | BATON ROUGE
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State | LA
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Zip | 70809
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Country | US
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Telephone | 225-761-1970
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Fax |
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Provider Business Mailing Address
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Address Line | 20051 OLD SCENIC HWY
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City | ZACHARY
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State | LA
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Zip | 70791-7369
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Country | US
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Telephone | 225-385-2751
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Fax |
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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